Familial generalized delayed eruption of the dentition with short stature. 1. Prolonged retention of the deciduous dentition, subsequent delay in eruption of the permanent dentition, and retardation in dental maturation are displayed outside the limits of normal variation. 2. The pedigree study of this family reveals the trait of noneruption to be distributed in a characteristic pattern of autosomal dominance. 3. Short stature was noted in this family and placed in the lowest limits of short stature as recorded in standard reference charts. 4. Additional findings included concave midfacial appearance, frontal bossing, delayed skeletal maturation, presence of Wormian bones in the lamboidal suture region of the skull, and strikingly large fontanelles in infancy. 5. The pedigree described represents a syndrome of short stature and delayed eruption of the dentition.


"Long distance" action of parachlorophenol and formalin in polyethylene tubes implanted in guinea pigs. Two endodontic intracanal medicaments (parachlorophenol and formalin) in polyethylene tubes were tested for their irritant effect by implantation in the backs of guinea pigs. Histologic evaluation at 3 days showed an exudate with polymorphonuclear leukocytes in the open part of the tube. At 10 days most of the tubes showed fibroblast migration into the open lumen, with necrotic tissue trapped between the fibroblast migration and the exudate. At 90 days only a little fibroblast migration was found in all of the tubes. No necrotic tissue was trapped and no irritation was seen. No difference could be observed between the reaction in the experimental and the control situations.


Doses to critical organs from dental radiography. Participants in the jointly sponsored Atomic Bomb Casualty Commission and Japanese National Institute of Health (ABCC-JNIH) Adult Health Study, a fixed-population sample under continual observation for late effects of the atomic bombs, are also being evaluated for their exposure to other sources of ionizing radiation. In the present study, the subjects' thyroid, lens, pituitary, bone marrow, and gonadal doses acquired during dental radiography were estimated from dosimetry of simulated human material exposed according to technical factors as ascertained in previously reported surveys of patients, dental clinics and hospitals, and dosimetry with phantom human material containing lithium fluoride thermoluminescence dosimeters and ionization chambers. Dental radiography comprised a relatively small segment of the contaminating sources of ionizing radiation exposure among this population sample. Efforts should be made to improve exposure conditions, especially in view of the increasing frequency of dental x-ray examinations.


Oral roentgenologic findings in a Norwegian urban population. Orthopantomograms were taken of 111 subjects constituting a random sample of 35-year-old citizens of Oslo. The most frequent pathologic finding was marginal bone loss, which was found in seventy-one persons (64%). Fifty-one impacted and unerupted teeth in twenty-eight persons were seen, the third molars predominating. Ten retained roots were found in nine persons, and apical radiolucent areas were found on forty-four teeth in thirty-three persons. In addition to the pathologic findings, 101 endodontically treated teeth in fifty-five persons were observed.


[Social medicine and dental health].

[Social medicine and dental health]. Some socio-medical aspects of preventive and curative dental care. Preventive and early curative dental care is considered as an integral part of general health behavior in the individual. Different variables possibly determining such behavior are discussed. Demographic factors as age, sex, place of residence, as well as family and educational background, income and vocation seem to be of importance. A dental health delivery system free of charge to everyone in the age group 6-18, eventually up to 21 years has been available for several years in Norway. We assume that this has had a great impact upon the motivations for a positive atitude towards preventive care, particularly since economic barriers have been reduced simultaneously with shift in the popular value aspects of having good dental health status. Plans for a future incorporation of dental care into a total national health service, comprising the entire population, in order to make the delivery system feasible for everyone, will probably stimulate a still wider interest and motivation for preventive and early dental care.


Current therapy for acute leukemia in childhood. As therapy for acute leukemia in childhood becomes increasingly effective, the management of the child with leukemia become increasingly complex. The nurse caring for the child and his family must have an understanding of the principles of antileukemia therapy and the potential side effects. She must be prepared to apply nursing interventions to prevent unnecessary complications and to manage unavoidable ones. In addition, she must provide consistent psychosocial support to the child and his family.


Management of the child with cancer on an outpatient basis. More and more of the children are being cared for on an outpatient basis at Memorial Sloan-Kettering Center. When there is a choice between admitting the child or caring for him on an ambulatory basis, the parent usually chooses the latter.  The census of pediatric ambulatory patient visits has increased from 6,000 in 1969, to 14,724 in 1974, as shown in Table 1. Each year the number of procedures increases, and each year more parents find this method of delivering patient care less disruptive to the family unit and more desirable, in every way, for the child under treatment. With the continuing increase in the number of patients and changes in the complexity of treatment, we find ourselves constantly changing our methods of delivering care. Today we have some children with acute lymphoblastic leukemia who have never needed hospitalization; all of their treatment has been given on an outpatient basis. We hope, in the future, that cancer care will become so refined tha the majority of our patients need not be separated from their homes and families-that their care can be given completely on an outpatient basis. In the last five years many changes have been made in treating the child with cancer, and I suspect the next five years will see even greater improvement. It is important, then, when managing the care of this very special child on an ambulatory basis, to keep both the physical structure of the clinic and the clinic policies flexible, in order to accommodate the new methods of treatment that are constantly being introduced.


Psychosocial reactions of children with cancer. A program for rehabilitation. The diagnosis of cancer in children challenges all the skills of the pediatric nurse. She utilizes her basic knowledge of development, family dynamics, and disease process. She explores all the implications of long-term illness. She assesses, plans, implements, and evaluates care for the child and his family. She acts as liaison, teacher, and counselor. She is the advocate for the child and his family. As an active member of the team she is instrumental in the process of rehabilitation for the child, physically and emotionally. She can help the child to live with cancer and assure quality of life in the days granted him.


Clinical signs associated with the amount of tracheobronchial secretions. Thirty-five subjects on volume-cycled mechanical ventilators were surveyed to identify predominating clinical signs associated with amount of tracheobronchial secretions. Variables measured included changes in vital signs, activity, ventilator pressure, tidal volume, presence of abnormal chest movement, adventitious breath sounds, and cyanosis. Secretions were aseptically obtained through a cuffed tracheal tube. Base-line data were gathered ten minutes after the subject was initially suctioned. Fifty minutes after collecting a base line, clinical signs were remeasured, the subject suctioned, and the amount of secretions measured. Seven signs had no observable association, that is, increased or decreased activity, asymmetrical chest excursion, intercoastal retractions, pharyngeal gurgle, local absence of breath sounds, or cyanosis. A biserial correlation coefficient was calculated between each sign and the amount of secretions. Fisher's exact probability chi square was calculated to determine specificity and sensitivity of each sign with secretions over .5 cc. In both statistical tests a change greater than 5mm. Hg in either systolic or diastolic blood pressure was significant (p less than .10). The presence of 6 or more of 15 clinical signs occurred in 90 percent of the subjects with .5 cc. or more secretions and in only 25 percent of those subjects with no secretions. All subjects with .5 cc. or more secretions had six or more signs and/or changes over 5mm. Hg in both systolic and diastolic blood pressure.


Diffusion frequency factors in some simple examples of transition-state rate theory. In the Eyring rate theory, the rate constant is expressed as a product of a frequency factor (kT/h) and a quotient of partition functions. Continuing an earlier paper, it is shown here by means of simple examples that the Eyring formalism may be extended to include diffusion-controlled processes if a new frequency factor, D/Rlambda, is substituted for kT/h, where D = diffusion coefficient, lambda = thermal de Broglie wavelength, and R = a characteristic distance that depends on the particular case. The Eyring formalism is also applicable in hybrid cases, intermediate between diffusion (D/Rlambda) and dynamics (kT/h). Because these modified frequency factors are not "universal" (as kT/h is), their main use (other than conceptual) would appear to be in cases in which one considers a simple model (with calculable frequency factor) together with a related more complicated model. In the latter case, as an approximation, one would combine the "simple" frequency factor with the "complicated" quotient of partition functions in order to obtain the desired rate constant. Examples are given.


Nuclear magnetic resonance studies of the helix-coil transition of poly (dA-dT) in aqueous solution. The well-resolved base and sugar proton resonances in the high resolution proton nuclear magnetic resonance (NMR) spectra of poly(dA-dT) can be monitored during the helix-coil transition. The observable resonances shift upfield on helix formation and the temperature-dependent chemical shifts exhibit a melting temperature t 1/2 = 69.9 +/- 0.3 degrees for 18.8 mM (with respect to phosphorus) poly(dA-dT) in 0.5 M Tris, 0.1 M cacodylate, D2O, pH 7.05. The observable protons are in fast exchange throughout the poly (dA-dT) helix-coil transition. The adenine H2 resonance that shifts upfield by about 1 ppm on helix formation exhibits uncertainty broadening in the fast exchange region...


Genetic recombination of bacteriophage T7 DNA in vitro. We have demonstrated recombination of bacteriophage T7 DNA in vitro. An extract of Escherichia coli B cells infected with wild-type T7(T7+) is incubated with mature DNA extracted from T7 phage. Packaging of the exogenous DNA within the phage head appears to be preceded by recombination of exogenously added DNA with DNA present in the extracts. In order to detect the recombination, we used an exogenous DNA bearing a marker (ss-) such that progeny phage which have packaged this marker are able to plate on Shigella sonnei D2 571-48, whereas T7+ phage present in the extracts do not. The recombinational process bears many of the characteristics of in vivo recombination. The exogenous DNA is not packaged intact but undergoes fragmentation to a length of about 3000 base pairs before being incorporated into a mature DNA molecule. If ss- DNA bearing an amber mutation is used in the assay, the frequency of amber+ progeny produced varies with the distance of the amber marker from the ss- marker. When DNA bearing three mutations is used in the reaction, phage heterozygous for the unselected marker are readily detected. Finally the products of phage genes 4 (DNA replication protein), 5(DNA polymerase), and 6(exonuclease), genes previously implicated in recombination in vivo, are required for the in vitro reaction.


Deletions of lambda phage locating a prm mutation within the rightward operator. Two deletion-substitution mutations of phage lambda, spi-113 and spi-274, are shown to remove about half of the rightward operator OR. Physiological studies show that spi-113 is still repressible. Thus, the 50 or so nucleotides of OR deleted in this mutant are not absolutely essential for repression. prm-116, which inactivates the promoter essential for the maintenance of lambda repressor synthesis, is located within OR between the endpoints of spi-113 and spi-274.


Determination of nucleotide sequences beyond the sites of transcriptional termination. A procedure is described by which a discrete high-molecular-weight RNA transcription product can be used as a primer by DNA polymerase (DNA nucleotidyltransferase; EC 2.7.7.7; deoxynucleoside triphosphate: DNA deoxynucleotidyltransferase) for determining nucleic acid sequence in the template DNA beyond the 3'-terminus of the transcript. This procedure is applied to two lambda phage transcripts, the 4S "oop" RNA [Short l-strand RNA transcript from the region of origin of replication (ori) and the 6S RNA. Sequences of 35 and 19 nucleotides, respectively, following the sites at which these two transcripts terminate, are determined. Little structural homology is apparent in the template DNA beyond the 3'-ends of these two transcripts. The lack of homology suggests that this region might not be important to the termination process.


Gram-preparative protein fractionation by isotachophoresis: isolation of human growth hormone isohormones. Steady-state stacking (isotachophoresis) provides a preparative method in zone electrophoresis for the isolation of proteins in gram amounts. Up to four components were separated in 1000-fold larger quantities than those used in conventional electrophoresis. Separation occurs in order of free electrophoretic mobility. Recovery is nearly quantitative. The method was shown to be capable of resolving isohormones of human growth hormone. This fractionation is representative of difficult terminal isolations in biology. The best results are obtained when few components are fractionated at a high load. The method uses simple, small-scale apparatus. It does not utilize spacer ampholytes.


Stucture of the amino-acid accepting 3'-end of high-molecular-weight eggplant mosaic virus RNA. The sequence of the first 59 nucleotides from the 3'-OH terminus of high-molecular-weight eggplant mosaic virus RNA has been determined by standard radio-chemical techniques. The fragment was identified among the products of partial T1 RNase digestion by making use of the reverse migration, at pH 2.5, of the 3'-OH terminal oligonucleotide. No abnormal bases were found. A model of secondary structure may be constructed for this fragment, which is known to fix valine in the presence of valyl-tRNA synthetase. Its relation to the structures of genuine tRNAs and to the 3'-OH termini of other viral RNAs that also accept amino acids is discussed.


Concatemers of alternating plus and minus strands are intermediates in adenovirus-associated virus DNA synthesis. Replicating DNA molecules of adenovirus-associated virus (AAV) were selectively extracted from KB cells coinfected at 39.5 detrees with a DNA minus, temperature-sensitive mutant of adenovirus 5 (ts125) as helper. Under these conditions AAV DNA replication proceeds normally, but there is little, if any, adenovirus DNA synthesis. An analysis of the replicating molecules in sucrose density gradients reveals that there are AAV DNA intermediates which consist of covalently linked plus and minus DNA strands. Under denaturing conditions, these concatemers are linear single strands whose lengths can reach at least four times the size of the AAV genome. The most abundant concatemeric species is a dimer which presumably exists in vivo as a unit length hairpin. Unit length linear duplexes appear to be immediate precursors of plus and minus progeny strands. These findings are compatible with a self-priming mechanism for the synthesis of AAV DNA.


Sherpas living permanently at high altitutde: a new pattern of adaptation. Adaptation of Sherpas to high altitude has been studied and compared with that of Caucasians acclimatized to high altitude. Sherpas living permanently at 4000 m above sea level do not have increased hematological parameters (i.e., red cell number, hematocrit, hemoglobin content, and 2,3-diphosphoglycerate/hemoglobin ratio) and have a higher affinity of blood for oxygen as compared with acclimatized Caucasians. Sherpas permanently living at low altitude, on the contrary, have lower affinity of blood for oxygen than do Caucasians living at comparable altitude and are mildly "anemic,". Various other red cell biochemical parameters (possibly related to adaptation to altitude) have also been studied in the same population. We suggest that Sherpas are genetically better adapted to high altitude than are Amerindians living on the Peruvian highlands, possibly as a consequence of a much more prolonged exposure to such an ecological factor of selection as high altitude.


Simultaneous initiation of synthesis of bacteriophage T4 DNA and of deoxyribonucleotides. In earlier reports we have suggested that bacteriophate T4 DNA replication occurs in a complex composed of the proteins required for polymerization and the system of enzymes synthesizing the deoxyribonucleoside triphosphate precursors of DNA. T4-induced dCMP hydroxymethylase and dTMP synthetase, though demonstrable in extracts soon after infection, are not active in vivo until about 5 min. The in vivo activities increase exponentially for approximately 15 min and then become constant. We have suggested that the exponential period represents the formation of the complexes. This paper shows that the initiation of DNA synthesis and of the two deoxyribonucleotide-synthesizing activities occurs simultaneously and with coinciding exponential kinetics. The in vivo activities of the two enzymes were tested after infection by a number of T4 amber Dna- mutants. Their activities were essentially unchanged compared to the wild-type phage, except on infection by mutants of gene 43 (T4 DNA nucleotidyltransferase or DNA polymerase). With these mutants the rate of increase of dTMP synthetase and dCMP hydroxymethylase activities was always substantially lower than after infection by wild-type phage. It is proposed that an intimate interaction occurs between T4-induced DNA polymerase and the complex of enzymes forming 5-hydroxymethyl-dCMP and dTMP.


Lack of ribosomal protein S1 in Bacillus stearothermophilus. The 30S ribosomal subunit of Bacillus stearothermophilus migrated as a single band when electrophoresed on agarose-acrylamide composite gels. The addition of the ribosomal protein S1 purified from Escherichia coli resulted in the appearance of an additional band migrating more slowly; 14C-labeled S1 of E. coli was shown to be associated only with this form. Antibody against E. coli protein S1 did not crossreact with either the total 30S ribosomal proteins or the postribosomal supernatant from B. stearothermophilus. These results indicate that B. stearothermophilus lacks a protein equivalent to E. coli S1 and may explain our previous finding [Eur. J. Biochem. 56, 15-22 (1975) that E. coli S1 greatly stimulated the translation by B. stearothermophilus ribosomes of f2 phage RNA.


Variations of DNA polymerase-alpha and -beta during prolonged stimulation of human lymphocytes. Stimulation of human lymphocytes with phytohemagglutinin is known to induce an increase in overall DNA polymerase activity (DNA nucleotidyltransferase; deoxynucleosidetriphosphate:DNA deoxynucleotidyltransferase, EC 2.7.7.7). Previous work [Pedrali Noy, G., Dalprà, L. Pedrini, A. M., Ciarrocchi, G., Giulotto, E., Nuzzo, F. & Falaschi, A. (1974) Nucleic Acids Res. 1, 1183] has shown that two subsequent waves of induction of DNA polymerase can be observed in this system; a first wave occurs in parallel with the increase in DNA replication rate; a second one occurs when the DNA synthesis rate is returned to minimal levels; the second peak is parallel to a maximum in DNA ligase and DNase levels. In the present work we have measured the levels of the DNA polymerases-alpha and -beta in phytohemagglutinin-stimulated lymphocytes during a 12-day period; both enzymes are present at detectable levels at time zero; in correspondence to the peak of DNA synthesis rate (between the fourth and fifth day) a peak of DNA polymerase-alpha is observed, increasing by a factor of approximately 20-fold over the zero time value; subsequently, the level of DNA polymerase-alpha decreases in parallel with DNA synthesis rate. The DNA polymerase-beta is also increased in correspondence to the peak in DNA synthesis rate, but reaches its maximum at later times, between the eighth and tenth day of incubation. The capacity of stimulated lymphocytes to perform repair synthesis following UV damage was measured in the same cells used for the enzyme activity determinations; this capacity also shows two maxima: a first one correlated with the peak in DNA replication rate, and a second one correlated with the peak of DNA polymerase-beta. These data suggest a certain tendency to the specialization of functions in human cell DNA polymerases; the alpha-enzyme seems mainly correlated with DNA replication, whereas the beta-enzyme seems more correlated with the ability of the cell to perform repair type synthesis.


Monovalent derivatives of concanavalin A. Monovalent dimers of concanavalin A (Con A) have been prepared by a combination of succinylation and photoaffinity labeling. Partial derivatization of native Con A using the photoaffinity label, p-azidophenyl-alpha-D-mannopyranoside, followed by affinity chromatography yielded a fraction that consisted of dimers with a single saccharide-binding site at pH 5. These monovalent dimers formed divalent tetramers at pH 7. In order to achieve a monovalent dimer at this pH, the divalent tetramers were succinylated by previously developed methods. Ultracentrifugation, equilibrium dialysis, and chromatographic experiments indicated that the resultant preparations consisted mainly of monovalent dimers which showed subunit exchange to yield about 15% divalent dimers after 12 hr at physiological pH. Freshly prepared material failed to agglutinate sheep erythrocytes at concentrations 500-fold higher than native tetravalent Con A. In addition, they showed saturating dose-response curves of mitogenic stimulation of mouse splenic lymphocytes. These curves resembled those of divalent succinyl-Con A but not those of the native molecule. Further development of methods for preparing stable monovalent derivatives of Con A should allow a refined analysis of the effects of lectin valence at the cell surface.


Linearity of the hemoglobin oxidation bohr effect. The hemoglobin oxidation Bohr effect below pH 7 is essentially proportional to the fraction of hemes oxidized, just as the ligation Bohr effect is proportional to fractional heme ligation. The reported nonlinear proton release during oxidation [(1965) J. Biol. Chem. 240, 3317-3324] is shown to be an artifact resulting from the use of ferricyanide as oxidant. Published forms of the two-state allosteric transition model for hemoglobin function have used several proton linkage schemes, and none are compatible with a linear proton release upon oxidation.


Sequence-specific recognition of double helical nucleic acids by proteins. The base pairs in double helical nucleic acids have been compared to see how they can be recognized by proteins. We conclude that a single hydrogen bond is inadequate for uniquely identifying any particular base pair, as this leads to numerous degeneracies. However, using two hydrogen bonds, fidelity of base pair recognition may be achieved. We propose specific amino-acid side chain interactions involving two hydrogen bonds as a component of the recognition system for base pairs. In the major groove we suggest that asparagine or glutamine binds to adenine of the base pair or arginine binds to guanine. In the minor groove, we suggest an interaction between asparagine or glutamine with guanine of the base pair. We also discuss the role that ions and other amino-acid side chains may play in recognition interactions.


DNA strand breaks, repair, and survival in x-irradiated mammalian cells. The yields of unrepairable single-and double-strand breaks in the DNA of x-irradiated Chinese hamster cells were measured by low-speed neutral and alkaline sucrose density gradient sedimentation in order to investigate the relation between these lesions and reproductive death. After maximal single-strand remoining, at all doses, the number of residual single-strand breaks was twice the number of residual double-strand breaks. Both double-strand and unrepairable single-strand breaks were proportional to the square of absorbed dose, in the range 10-50 krad. No rejoining of double-strand breaks was observed. These observations suggest that, in mammalian cells, most double-strand breaks are not repairable, while all single-strand breaks are repaired except those that are sufficiently close on complementary strands to constitute double-strand breaks. Comparison with cell survival measurements at much lower doses suggests that loss of reproductive capacity corresponds to induction of approximately one double-strand break.


X-ray diffraction of actively shortening muscle. Low angle x-ray diffraction patterns were obtained from resting and activated frog sartorius muscles by means of a position-sensitive detector. Although the intensity ratio I10/I11 decreased many-fold upon activation, it was nearly the same during isometric and isotonic contraction. Thus, motion has a much smaller effect on the low order equatorial pattern than the transition from rest to activity. Analysis of the 10 and 11 reflections separately showed that I10 and I11 change reciprocally upon activation, and that they both increase by a small amount in the transition from isometric to isotonic contraction. If the intensity ratio can be taken as a measure of cross-bridge number, the results provide evidence that the drop in force in an actively shortening muscle is due primarily to the influence of motion on the configuration, rather than the number, of cross-bridges.


Inactivation of catalase monolayers by irradiation with 100 keV electrons. A catalase monolayer adsorbed on a layer of arachidic acid deposited on a solid support was irradiated with 100 keV electrons simulating the conditions of electron microscopic imaging. Effective doses were calculated taking into account the angular and energy distribution of backscattered electrons. Enzymatic inactivation was chosen as the criterion for damage and was monitored by a rapid and quantifiable but nevertheless sensitive assay. Dose-response curves revealed that inactivation is a one-hit-multiple-target phenomenon, which is consistent with biochemical evidence for a cooperative function of subunits. The experimentally determined target size coincides fairly well with both calculated cross sections for inelastic interactions based on the atomic composition of catalase and with calculated cross sections for ionizing events based on the chemical bonds involved. This legitimates both types of calculations even for complex biomolecules.


Enhanced labeling of a retinal protein during regeneration of optic nerve in goldfish. Goldfish retinas were examined for changes in the labeling pattern of protein during regeneration of retinal ganglion cell axons following unilateral optic nerve crush. At various times after optic nerve crush the normal retinas were incubated in vitro with [3H] methionine and retinas from the opposite side of the treated fish were inculbated with [35S] methionine. The incubated retinas were combined and a soluble protein fraction was isolated and separated by sodium dodecyl sulfate-urea polyacrylamide gel electrophoresis. A band on the gel showing an elevated 35S to 3H ratio appeared at 5 days following optic nerve crush, increased to a maximum at 15 days, and was barely detectable at 45 days, during which time vision is known to return. On the basis of several criteria, the protein fraction showing the increased incorporation of methionine in retina after optic nerve crush appears to be of the tubulin class.


Localization by situ hybridization of amplified ribosomal DNA during Xenopus laevis oocyte maturation (a light and electron microscopy study). The presence of ribosomal DNA has been demonstrated, by light and electron microscopy study of in situ hybridization with 125I-labeled ribosomal RNA, in the Feulgen-positive bodies which appear during maturation in the cytoplasm of Xenopus laevis oocytes. The ultrastructure of these bodies is described.


Surface membrane carbohydrate alterations of a flagellated protozoan mediated by bacterial endosymbiotes. Crithidia oncopelti, a parasitic trypanosomatid protozoan of insects, normally contains intracellular symbiotic bacteria. As shown earlier, the protozoa can be rid of their endosymbiotes by chloramphenicol, producing a symbiote-free cell line. Here surface-membrane carbohydrate ligands of the symbiote-containing and symbiote-free strains were compared by lectin-mediated agglutination, lectin-ultrastructure localization. [3H] lectin-binding, and fluorescent lectin staining. Symbiote-free organisms consistently had 3-fold higher agglutination titers than symbiote-containing cells with concanavalin A. Conversely, symbiote-containing flagellates had 2- to 3-fold greater agglutination titers with a fucose-binding lectin than symbiote-free organisms. Ultrastructure results showed that more of concanavalin A-horseradish peroxidase-diaminobenzidine reaction product was present at the surface of symbiote-free than on symbiote-containing cells. Treatment with [3H]concanavalin A revealed that surface membrane sites available per cell for [3H]lectin-binding ranged from 6.2 to 7.4 x 10(4) and from 24 to 27 x 10(4) for symbiote-containing and symbiote-free organisms, respectively, i.e., the mean binding level of the latter for the lectin was 3.5 times greater than that of the former. Moreover, symbiote-free cells fluoresced more than symbiote-containing organisms after staining with fluorescein-labeled concanavalin A. Apparently, the prokaryotic endosymbiotes somehow alter the quantity of saccharide ligands in the C. oncopelti surface membrane.


A new group of potent inducers of differentiation in murine erythroleukemia cells. This report identifies a group of compounds, polymethylene bisacetamides (acetylated diamines), which are potent inducers of erythroid differentiation in murine erythroleukemia cells. A known inducing agent, N-methylacetamide, was dimerized through varying numbers of methylenes in an attempt to increase the local effective concentration at adjacent target sites. The simple dimer was no more effective than N-methylacetamide alone; introduction of five to eight methylenes between acetamide groups substantially increased the effectiveness of these compounds. The hexamethylene bisacetamide was active between 0.5 mM and 5 mM; the percentage of cells induced and the rate at which they were recruited to differentiation was dependent upon the concentration of inducer within this range. At 5 mM hexamethylene bisacetamide essentially the entire population (greater than 99%) was induced to a pathway of erythroid differentiation which was greater differentiation of the cultured cells than with any inducer yet tested.


Cytoplasmic microtubules in tissue culture cells appear to grow from an organizing structure towards the plasma membrane. A structure which appears to organize cytoplasmic microtubules in interphase mouse 3T3 cells can be visualized by immunofluorescence microscopy. Purified monospecific antibody against homogeneous tubulin from brain visualizes, in addition to cytoplasmic microtubules, a cytoplasmic polar structure as the focal point from which the microtubules seem to radiate. The structure is preserved after treatments that depolymerize cytoplasmic microtubules, i.e., exposure of cells to mitotic drugs or to low temperature. When cells recover from these treatments one end of each microtubule organizing structure acts as a nucleating center from which cytoplasmic microtubules grow toward the plasma membrane. Thus cytoplasmic microtubules assemble in vivo in an ordered unidirectional manner, and therefore the cell must be able to avoid the assembly of unwanted, unoriented, and disconnected microtubules. These results suggest that the assembly of tubulin into microtubules is regulated in vivo.


Cytological evidence for switches in polarity of chromosomal DNA. From the types of ring chromosomes induced in x-irradiated Chinese hamster ovary (CHO) cells, we deduce the existence of switches in the polarity of chromosomal DNA; if there is a continuous DNA double helix along the full length of the chromosome then the polarity switches imply 3'-3' and 5'-5' phosphodiester linkages. The resolution of the method is such that we estimate that there is one polarity switch for every 10(9) normal 3'-5' phosphodiester bonds.


Hemoglobin Wayne: a frameshift mutation detected in human hemoglobin alpha chains. Hemoglobin Wayne is an alpha chain variant which manifests itself as two minor hemoglobin (Hb) components that migrate more rapidly than Hb A on electrophoresis at pH 8.6. It has been found in a child with Fanconi's anemia and in three generations of the child's family. Each of the minor components yields an alpha chain in which the carboxyl-terminal tripeptide sequence, Lys-Tyr-Arg, has been replaced by the octapeptide sequence Asx-Thr-Val-Lys-Leu-Glu-Pro-Arg. In alpha Wayne I, the slower of the pair, Asx is asparagine, whereas in alpha Wayne II it is aspartic acid. Comparison of the alpha Wayne sequences with the amino-acid sequences of alpha A and alpha Constant Spring leads to the conclusion that Hb Wayne I is the result of a -1 frameshift mutation in the alpha chain and that Hb Wayne II is formed secondarily by spontaneous deamidation of the new asparagine residue. A frameshift is consistent with a single mRNA base sequence for the last eight codons involved and supports the view of Clegg, Weatherall, and Milner [Nature (1971) 234, 337-341] that Hb Constant Spring is the result of a terminator mutation leading to translation of 31 codons not normally translated.


Significance of constitutive integrase synthesis. One conceivable function for constitutive integrase formation by lambda prophage is to stabilize the inserted state by catalyzing reinsertion of prophages that are accidentally excised. As this hypothesis implies a dynamic equilibrium betwen inserted and noninserted DNA, the existence of such an equilibrium is explored. By examining the frequency with which prophages appear in an initially unoccupied chromosomal site of a lysogenic bacterium in which the prophage attachment site is duplicated, the off-rate is estimated as less than 10(-2) per generation for wild-type lambda, and less than 4 x 10(-4) for N- mutants of lambda. From the rate of integrase-catalyzed haploidization of certain partial diploid strains, the rate of spontaneous integrase activity is estimated as 3 x 10(-3) per generation. From these values I conclude that constitutive integrase will not appreciably stabilize the inserted state by virtue of its known activity.


The partial amino-acid sequence of an H-2K molecule. Eighteen of the NH2-terminal 27 amino acids of a murine H-2K molecule have been assigned. The approach used was to label murine splenocytes with a single radioactive amino acid, isolate the H-2K molecule by specific immunoprecipitation, electrophorese the dissolved precipitate on sodium dodecyl sulfate polyacrylamide gels, and subject the isolated H-2K peak to amino-acid analysis and automated sequencing.


Structure of HLA antigens: amino-acid and carbohydrate compositions and NH2-terminal sequences of four antigen preparations. Amino-acid and carbohydrate compositions in addition to limited NH2-terminal sequence data of four preparations of HLA antigens, including products of both of the major histocompatibility loci (HLA-A and HLA-B), show that the antigens have great homology in the primary structure. A striking observation is that HLA antigens also have a considerable structure homology with mouse H-2 antigens. HLA antigens appear to have one carbohydrate side chain which has the same composition in all four cases. The possible relation of the structure of the heavy chain of HLA antigens to immunoglobulins is discussed, based on the limited data which are available so far.


Localization of the papain cleavage site of H-2 glycoproteins. The antigenic products of the murine H-2K and H-2D genes are glycoproteins of about 45,000 molecular weight which are tightly integrated within the cell surface membrane. A glycoprotein fragment (FAg, antigenic fragment) of 37,000 daltons carrying the carbohydrate, antigenic sites, and the associated putative beta2-microglobulin of 12,000 daltons can be generated by papain cleavage either of the native molecules in the cell membrane or of immune precipitates made from the antigen solubilized by nonionic detergent. Partial NH2-terminal sequence analyses of the native H-2 glycoprotein and of the papain-cleaved glycoprotein fragment establish that the fragment is, in fact, the NH2-terminal portion of the native molecule. Thus, the cleavage by papain proteolysis is near the COOH-terminus, and removal of the COOH-terminal portion (Fm, membrane fragment) converts the glycoprotein to a water-soluble form. This observation suggests that the NH2-terminus of the native glycoprotein extends out of the hydrophobic bilayer of the cell membrane, and that the COOH-terminus contains the membrane binding region and is buried within the bilayer.


Ontogeny of lymphocyte subpopulations in human fetal liver. Lymphocytes were isolated from five fetal livers (13-17 weeks) and examined for different surface markers. Immunoglobulin M was found on 0.5-4.0% of lymphocytes. No membrane-bound surface IgD, IgA. or IgG was detected. Mouse erythrocyte rosette-forming lymphocytes ranged from 0.5 to 6.0%. Thymus-processed (T) lymphocytes, which were defined as those forming spontaneous rosettes with sheep erythrocytes, as well as lymphocytes with IgG Fc receptors, were present in a small proportion. No complement-receptor-bearing lymphocytes were found in the two cell populations of fetal liver studied. It is evident that during the ontogeny of bone-marrow-derived (B) lymphocytes IgM is the first surface immunoglobulin to appear. Receptors for the binding of mouse erythrocytes are present at the same time as surface IgM. The slight excess of mouse erythrocyte rosette-forming cells over cells having surface immunoglobulin M could mean that IgM appears later than do the receptors for the binding of mouse erythrocytes.


Antibody differentiation: apparent sequence identity between variable regions shared by IgA and IgG immunoglobulins. We have analyzed a pair of human myeloma immunoglobulins (biclonal proteins) of the IgG and IgA classes from a single patient, GR. The light chains are identical in amino-acid sequence over 40 residues at their NH2-terminus, hwereas the heavy chains are identical throughout 45 residues of their NH2-terminus. Additional chemical and serological studies suggest the light chains and variable regions of the heavy chains (VH) are very similar, if not identical. The implications of these and of other published studies are discussed with regard to (i) the association of one VH region with multiple constant regions of the heavy chain (CH regions), (ii) two alternative types of V-C joining mechanisms, (iii) the differentiation of antibody-producing cells, and (iv) three categories of biclonal immunoglobulins.


Localization of triiodothyronine in nerve ending fractions of rat brain. Radioactive triiodothyronine reaching the rat brain after intravenous administration is rapidly and selectively taken up in the nerve ending fraction. A concentration gradient of radioactivity from brain cytosol to synaptosomes is observed at 5 min, increases linearly over the first hour, and is maintained for at least 10 hr. Radioactivity in the synaptosomes is due to triiodothyronine (90%) plus a single unidentified metabolite (10%). Approximately 85% of the synaptosomal radioactivity is released by osmotic disruption of the particles. The process of selective uptake, concentration, and retention of triiodothyronine in nerve terminals of the rat brain may be related to the sympathomimetic and behavior-altering effects of the thyroid hormones.


Study design for a hepatitis B vaccine trial. A short-time trial of small sample size for an evaluation of the hepatitis B vaccine is proposed and designed. The vaccine is based on the premise that antibody to the surface antigen of the hepatitis B virus is protective against viral infection. This premise is verified by using the presence of the surface antigen as the marker of infection and comparing infection rates in renal dialysis patients who had naturally acquired antibody to patients without antibody. Patients with antibody have an extremely low risk of infection. The probability of remaining uninfected decreases at an exponential rate for patients without antibody, implying a constant risk of infection at any point in time. The study design described makes use of this time independence and the observed infection rates to formulate a clinical trial which can be accomplished with a relatively small number of patients. This design might be useful if, in preliminary studies, it is shown that the vaccine produces antibody in the patients and that protection against hepatitis B virus would be beneficial to the patients.


Prevention and suppression by azathioprine of venom-induced protein-losing gastropathy in dogs. Irrigation of the dog's oxyntic glandular mucosa contained in a chronically prepared, vagally denervated, separated pouch of the dog's stomach with a solution (0.5 mg ml-1) of lyophilized venom of the hooded cobra (Naja naja) increases the permeability of the mucosa. If irrigation with venom solution is repeated at weekly intervals, the mucosa responds with increasing plasma-shedding which reaches a peak of 1-2 ml min-1 from roughly 60 cm2 of mucosa in 4-6 weeks. Plasma shedding in response to irrigation with venom gradually declines, leaving a permanent residual response of different magnitude in different dogs. Giving naive dogs the immunosuppressant azathioprine by mouth in a dose of 5 mg kg-1 day-1, beginning 1 week before the first irrigation with venom solution and continuing for 4 weeks, postpones the plasma-shedding response until the sixth or seventh week of venom irrigation. The plasma-shedding response is wholly or partially suppressed by further administration of azathioprine by mouth in a dose of 3.3 mg kg-1 day-1. These data support the hypothesis that the plasma-shedding response to repeated venom irrigation involves the immune system of the stomach.


Photoprotection by carotenoid pigments in the copepod Diaptomus nevadensis. Individuals of the copepod Diaptomus nevadensis that contain high concentrations of carotenoids survive significantly better in natural intensities of visible light than less pigmented copepods. Vertical migration and behavior in light of different wave lengths are related to the degree of pigmentation.


Ethological isolation and mating experience in Drosophila paulistorum. With few exceptions, previously published experiments documenting ethological isolation between Drosophila populations have used young virgin females. We have observed directly females of Drosophila paulistorum semispecies in choice experiments with both homogamic and heterogamic males. Aged females' sexual selection did not differ from that of young females. Previous heterogamic copulatory experience did not change the degree of sexual isolation; however, females with homogamic copulatory experience showed a significantly higher preference for homogamic males.


Diaphragm function and alveolar hypoventilation. A syndrome of alveolar hypoventilation has been identified in a group of patients with bilateral diaphragm paralysis. Eight patients were studied in whom diaphragm weakness had been suggested by paradoxical (inward) movement of the abdominal wall on inspiration, of whom seven had evidence of a generalized neuromuscular disorder. Diaphragm function was assessed quantitatively by measurement of the change in transdiaphragmatic pressure during a maximum inspiration (deltaPDi). In five patients, deltaPDi was zero and in the others ranged from 2-6 cm H2O (normal greater than 25 cm H2O) indicating paralysis and severe weakness in the respective groups. Fluoroscopy of the diaphragm was found to give misleading results, and the resons for this are considered. Vital capacity ranged from 65-30 per cent of the predicted normal in the upright posture, typically falling by about a half in the supine posture. Alveolar hypoventilation was present in five patients when supine and in six when asleep, the deterioration in blood gases associated with sleep generally being much greater in these patients than in normal subjects. Respiratory rate was significantly greater than age-matched controls. The ventilatory response to CO2 was impaired. The PCO2 could be brought to normal levels by voluntary hyperventilation, and the unreliability of voluntary respiratory manoeuvres of this kind as indices of ventilatory reserve is emphasized. Alveolar hypoventilation was associated with disturbed sleep, morning headache and day-time fatigue. Symptomatic benefit was achieved by the use of a cuirass respirator at night.


A pilot study on the effect of toothbrushing on the gingiva of a beagle dog. The maxillary canine and premolar areas of a beagle dog were brushed according to the roll and the scrub toothbrushing techniques. Characteristic, reproducible soft tissue lesions could be associated with the brushing.


A 24-month evaluation of fissure sealing with a diluted composite material. The idea of pit and fissure sealing has found wide acceptance in caries prevention. The present investigation evaluates the retention of a diluted composite material (Concise Enamel Bond system) used as a pit and fissure sealant. On the basis of a clinical evaluation in 69 children of the retention of the material in pits and fissures for 24 months, it seems justified to assume that the diluted composite material is an acceptable alternative to other fissure-sealing materials.


Effect of a fluoride-containing chlorhexidine gel on bacteria in human plaque. The effect on the plaque flora of a fluoride-containing chlorhexidine gel in mouthpieces was studied in seven subjects. Use of the gel during a 3-month period resulted in a change in the pattern of sensitivity to cholorhexidine in the plaque flora as displayed by determination of the minimal inhibitory amount (MIA) of the drug in agar diffusion assays. Three months after the use of gel was discontinued, the MIA value for plaque bacteria had returned to its original level. The relative proportions of S. mutans and S. sanguis in plaque changed during the chlorhexidine period. Thus S. mutans could not be detected in plaque samples after 3-month use of the gel, and the frequency of S. sanguis was altered.


A quantitative microradiographic study of oral leukoplakias. Biopsies from 13 oral leukoplakias and from normal tissue specimens in the contralateral region of each patient were examined histologically and microradiographically. Microradiographs of freeze-sectioned and freeze-dried sections were made and quantitative photometric analyses of the distribution of the dry mass concentration in different epithelial cell layers of both normal and pathologic specimens were performed. In each microradiograph, the thickness of the stratum corneum was determined. The results indicated that in oral leukoplakia two main changes occur in the epithelial surface layer, i.e. an increase of the thickness of the surface epithelial cell layer, and a formation of an epithelial surface zone of cell layers with different degrees of keratinization and varying dry mass concentrations.


Initiation and aggravation of denture stomatitis by sucrose rinses. The purpose of this study was to assess whether frequent exposure to sucrose would aggravate or initiate a palatal candidosis in denture wearers. Eight subjects with generalized simple or granular inflammation in the palate (inflammation group) and six with clinically healthy palatal mucosa (control group) carried out 1-min mouthrinses with 10 ml of a 25% sucrose solution four times daily for 15 d. In the inflammation group an aggravated palatal erythema was seen in two subjects after 7 d, and in another subject after 15 d. Among the controls a generalized simple inflammation had developed in the palate of one subject after 7 d, and in another one after 15 d. An increased number of yeast colonies on palatal and denture agar models and/or hyphae on palatal and denture smears was found in all subjects with clinical signs of aggravated or initiated denture stomatitis.


Lipoproteins in fluid from non-keratinizing jaw cysts. Forty-seven cyst fluids and autologous sera were examined for lipoproteins (LP) by cellulose acetate membrane (CAM) electrophoresis, immunoelectrophoresis and quantitative analyses for beta-lipoprotein and cholesterol. By CAM electrophoresis all cyst fluids showed alpha1-LP and betal-LP bands but no pre-beta-LP band. Four cyst fluids exhibited and additional, well-defined lipid-staining band located within the gamma-globulin zone (post-beta-band). The relative amount of alpha1-LP was higher in cyst fluid than in serum. Single radial immunodiffusion showed that the content of beta-LP was low. On an average, cyst fluid contained more cholesterol than did serum. Some cyst fluids were particularly rich in cholesterol. It is hypothesized that the cholesterol is derived partly from beta-LP originating from plasma.


Tuberculosis pleurisy due to Mycobacterium fortuitum in a patient with chronic granulocytic leukemia. A case of tuberculous pleurisy due to Mycobacterium fortuitum in a 47-year-old woman with chronic granulocytic leukemia is described. The mycobacterial aetiology of the pleurisy was confirmed by pleural biopsy and by positive culture of M. fortuitum in pleural fluid. Antituberculosis chemotherapy with INH, RMP and EMB, combined initially with prednisolone, was successful in spite of total resistance of the strain to the drugs used. A short review of mycobacterioses and of recent literature on the topic, especially on M. fortuitum, is also presented.


[Sterilization in the daily dental practice]. The different systems of sterilization used in dental practice are examined. Sterilization with dry heat is especially studied, dry heat being the most appropriate and convenient way of sterilizing in the dental practice. Tests made by Prof. Vannier of Paris and by the author, prove that when the instruments are well cleaned, sterilization with dry heat at 176 degrees F for 60 min destroys all kinds of septic germs. It is not necessary to sterilize at 230 degrees F or higher. It is recommended to use both a dry heat sterilizer and an autoclave. The latter being used to sterilize the tissues, gaze, rubber, paper or to perform a quick sterilization just prior to an operation.


[Gnathometric studies for the supplementation and differentiation of the condition of the model: axial position of the front teeth]. The axial position of upper and lower incisors and its importance in radiographic analysis was critically investigated. The limits of the theoretical usability of norm measurements is discussed in the light of existing literature. The results show that rigid adaptation of therapy to the mean values found is inadmissible.


[Orthodontics and speech therapy].

[Orthodontics and speech therapy]. The author recalls the suction and deglutition are indeed primary functions; mastication and spoken speech are rooted in them. One must also take time, forth dimension, into consideration. The postural state represents the starting point of the movement; one pronounces phonemes just as one holds one's tongue or swallows. Having so described the preparation of the first phase of the first sequence of the swallowing act, the author points out that the unfolding of the process then depends upon neurophysiological laws. Deglutition and phonetic articulation are making use of the same osteo-neuro-muscular effectors. The author is showing the close link there is between dysmorphosis and neuro-muscular dysfunction. In the second part the fact is emphasized that morphological modifications and changes in neuro-muscular behavior go hand in hand and complement each other. Hence the need for a closer collaboration between orthodontists and orthophonists, which may be very useful. The presentation of five case histories of children being in double treatment, e.g. with both the use of an appliance and neuro-muscular reeducation, upholds the argument.


[Points of articulation of phonems of the French language. Functional study]. In dento-facial orthopedics, the orthophonist accomplishes a technical work. He establishes the functional examination, corrects troubles of phonetic articulation bound to the different dysmorphozes; moreover he also corrects deglutition and provides training for the speech motricity of the mouth.


[Joint treatment of patients with clefts by orthodontists and logopedists]. Close cooperation between speech pathologist and orthodontist in management of CLP cases is described. Preoperative treatment aims at maintenance of initially favorable maxillary relations and compensation for imbalance of the oral musculature. Knowledge of growth and speech development is decisive for timing of primary surgery (lip about 6 months, soft palate about 18 months, hard palate 5 to 7 years). Speech assessment starts at age 2-2 1/2, followed by team controls once or twice a year with proper coaching of parents. Actual speech therapy is not stared before age 5. The approach described, with particular consideration of growth and speech problems, has been followed for 5 years. With a view to speech as well as to cephalometric evaluation, temporary results excell those of former years for the same age group. As regards teamwork, assessment of velopharyngeal closure is mentioned since orthodontists may provide speech-pathologists with an additional diagnostic means, i.e. cephalometric headplates, taken during phonation.


Specificity of naturally occurring antibody in normal gibbon serum. Gibbon natural antibody examined by immunoelectron microscopy reacted with the entire envelope of type C virus and with areas on the cell surface equivalent to or smaller than the diameter of a virion in gibbon and human culture cells infected with or releasing type C viruses. The antibody activity was absorbed completely by two cell cultures infected with gibbon ape leukemia virus and by the virus itself, and partially by normal gibbon spleen cells and dog thymus-derived cells infected with baboon endogenous type C virus, and fresh white blood cells obtained from a patient with chronic myelogenous leukemia in acute blastic crisis.


Hypokalaemia, hypomagnesaemia and hypocalcaemia in acute non-lymphoblastic leukaemia. Two cases of acute leukaemia, one monoblastic and one myelomonocytic, in which hypokalaemia, hypomagnesaemia and hypocalcaemia were documented, are reported. Urinalysis demonstrated renal loss of potassium and magnesium without other evidence of renal tubular dysfunction. The mechanism and clinical significance of these abnormalities are briefly discussed.


["Preventive" cranial irradiation in acute lymphoblastic leukemia in childhood]. In accordance with the recommendations of Pinkel, 147 children with acute lymphoblastic leukemia were treated by a combined cytostatic and radiation therapy during a joint study between May 1971 and Jan. 1, 1974. After a primary cytostatical treatment which brought about a remission of 94% of the patients within four to six weeks, the cranial irradiation was performed, depending on age, with a focal dose of 1500 up to 2400 rd in the course of three or four weeks. Simultaneously, the patients were given methotrexate intrathecally which was followed, later on, by a long-term therapy with cytostatics. By means of this combined treatment, a three-year survival was obtained in 50% (8 of 16) and a complete remission in 44% (7 of 16). The prognosis is the same for boys as for girls. A less favorable prognosis concerns the patients with an initial leukocytosisf more than 50 000 leukocytes/mm3 of blood, an age of more than ten years, and leukemic cells already demonstrable in the cerebrospinal fluid.


[Chronic adrenal insufficiency in childhood: clinical features and hormonal diagnosis (author's transl)]. An investigation was carried out on 6 children with clinical symptoms of adrenal insufficiency. The diagnosis was verified biochemically in 4 cases, 1 child was found to have secondary adrenal insufficiency and 1 had normal adrenal function. These findings demonstrate 2 types of adrenal insufficiency with different clinical pictures: Type 1 is characterized by cortisol deficiency with hypoglycaemia, low corticoid levels and a low cortisol secretion rate; Type 2 shows aldosterone deficiency with prominent salt loss. The clinical picture is correlated in extenso to the biochemical data in respect of ketosteroids, corticosteroids, plasma corticoids, cortisol secretion rate and aldosterone determination in a constant ACTH stimulation test. The methods of determination of the plasma aldosterone level and the cortisol secretion rate were greatly modified and redeveloped in this laboratory.


[Pulmonary fibrosis after busulfan therapy]. After a short review concerning the side-effect of busulfan (myleran) a case of a myleran lung in a 45-year-old male patient is described who received altogether 408.0 mg myleran, as he suffered from a chronic myeloic leucosis; the special literature is cited and the developmental mechanisms are discussed.


Aspects of teratology of vitamin A acid (beta-all-trans retinoic acid). Retinoic acid must now be considered a normal metabolite of vitamin A. In fact, evidence now exists which can well support the idea that retinoic acid may itself be- or may be converted to-a metabolically active form which would carry out the growth-promoting functions of vitamin A. In contrast to retinol, retinoic acid is rapidly metabolized,being totally degraded within 48 hours after its adminstration to vitamin A-defiecient rats. Its primary excretory route is through the bile, the resulting metabolite retaining its intact side chain. At least one metabolite going through this excretory route has been identified as retinoyl-beta-glucuronide. However, retinoic acid undergoes oxidative decarboxylation of the terminal carbon to the extent of approximately 20%. Another 20% undergoes further degradation to lose the C-14. New chromatographic procedures as well as new extraction procedures which are gentle and give 100% recoveries have been described, which may be an important new tool in the elucidation of the metabolism of retinoic acid and retinol. So far at least eight metabolites of retinoic acid have been detected with these methods. However, none of these metabolites has yet been identified and their biological significance remains unknown.


Vitamin A acid in Darier's disease.

Vitamin A acid in Darier's disease. The etiology in Dariers disease (keratosis follicularis) is unknown, but it seems to be that the skin changes are related to a variation of nutritional vitamin A deficiency caused by processes within the organism. The skin condition, in which the main histological change shows follicular dyskeratosis, has a certain similarity to hypovitaminosis A. Several follicular keratoses are influenced by vitamin A or vitamin A acid therapy. The use of vitamin A is limited by its toxicity, but vitamin A acid being less toxic could be an important therapeutic advance in follicular keratoses. In Darier's disease vitamin A  acid topically or systemically applied leads to distinct improvement of the skin lesions. Clinically and histologically, some of the treatment effects are similar to effects obtained when using vitamin A. Systemic vitamin A acid (retinoic acid) administration results in elevation of serum levels vitamin A (retinol) and provitamin A (carotene) and after high dosage clinical symptoms develop nearly identical with hypervitaminosis A. Several possibilities regarding the mode of action of vitamin A acid are mentioned.


Vitamin A acid in lichen planus.

Vitamin A acid in lichen planus. Since 1971, Vitamin A acid (VAA) has been used for topical treatment of lichen planus (L.p.) at the 2nd Department of Dermatology in Vienna. During this period, 43 patients have been treated in the following way: for a period up to 3 weeks, a 0.05% or 0.1% VAA cream or solution was applied twice daily to the affected skin or mucosa. In the first days of this therapy, a characteristic local reaction of the L.p. lesions could be observed; first an edematous swelling appeared, followed by scaling and regression of efflorescences. Finally, an inflammatory skin reaction also developed. At this juncture, VAA was abandoned and the treatment was continued with steroid-containing ointments. Occlusive dressings were used only in cases of hypertrophic L.p. The same therapy was performed in L.p. of mucous membranes. By this method it was possible to achieve good therapeutical results in all treated cases. However, the frequency of recurrences of L.p. could not be diminished.


Vitamin A acid and wound healing.

Vitamin A acid and wound healing. After preparatory treatment with 1% vitamin A acid for 3 days, healing of standardized wounds was accelerated by 18%, compared with a control group. The histological findings revealed as causes a general activation of epidermis, resp. signs of proliferation with inhibition of normal differentiation and hornification. These well known alterations due to vitamin A acid treatment are clearly visible in all epidermal layers. Obviously the activation of epidermis occurs when a remainder of the wound normally is healing by epithelization, that is at an area of 50 mm2. The profit of time in this sense can be defined unequivocally from the performed animal experiments.


Pharmacological studies on retinoic acid in Wistar and in atrichos rats. Retinoic acid produces some changes in the skin which could be interpreted as a mechanism of action: release of acid hydrolases and phosphatases, inflammatory reactions, increase in lipid synthesis and transport as an energy dependent phenomenon, increase in the lipid flux perhaps as a lipoprotein complex, since there is a rise in nucleic acid synthesis. Stimulation of bone remodeling is observed only when high dosage of retinoic acid is given orally.


Effects of vitamin A acid in skin: in vivo and in vitro studies. Profound metabolic changes take place in keratinizing epithelia in the presence of retinoic acid. In vivo as well as in vitro the proliferative activity of epidermal cells is greatly enhanced. Together with the increased rate of new cell production cellular differentiation (keratinization and cornification) is also altered. The effects are species-unspecific, probably tissue-specific and dose-dependent. The precise action of retinoic acid, however, still remains unknown.


Regulation of prostaglandin E2 biosynthesis in guinea pig skin by retinoic acid. Topical application of retinoic acid on guinea pig skin resulted within 70 hours in erythema with a concomitant elevation of endogenous prostaglandin E2 (PGE2) in the treated areas of the skin. Prolonged daily treatment resulted in the development of severe scaly dermatoses and a corresponding decrease in the level of PGE2 in the skin. Examination of retinoic acid effects on the in vitro biosynthesis of PGE2 from arachidonic acid by extracts from guinea pig skin and sheep vesicular gland demonstrated that retinoic acid inhibits prostaglandin synthesis in concentration and time-dependent manner. These results indicate that retinoic acid may exert a regulatory role on prostaglandin biosynthesis in the skin.


Studies of dietary habits in pregnancy - with special reference to the intake of iron. The dietary habits of 94 pregnant women (median age 26 years) were studied by means of four-day dietary records. Twenty-seven women were followed longitudinally and were observed in the 10-15th, the 24-27th and the 34-37th week of gestation (L-series). The remaining 67 women comprised the A-series, of which 20, 32, and 15 made their records during the 10-15th, 24-27th, and 34-37th week of gestation, respectively. There were no significant differences between the results from these two series. The mean daily energy intake was 2360 kcal and remained unchanged during pregnancy, exceeding by 250 kcal the average intake in non-pregnant women in Gothenburg, studied earlier. The iron intake comprised 1-2 mg of haeme iron, about 10 mg of native non-haeme iron and 5-6 mg of fortificiation iron. The mean iron intake was 7.2 mg/1000 kcal, which is below the recommendation, but it was distributed over the food groups in a manner more favourable for iron absorption than in the average Swedish population. Further effects to improve the diet so as to increase the content of iron and factors known to favour iron absorption are desirable. The results justify the normal practice of prescribing supplement iron in late pregnancy.


Dietary iron absorption in pregnancy - a longitudinal study with repeated measurements of non-haeme iron absorption from whole diet. In 22 healthy women the non-haeme iron absorption (bone-marrow smears and haematological parameters) was studied at the 12th, the 24th and the 36th week of gestation and two months after delivery. In eight non-pregnant women and in seven pregnant women (at the 36th week of gestation) the absorption of food iron was measured from different types of meals. The iron absorption was measured from radioiron-labelled test meals using a whole-body counter with a very high sensitivity. During pregnancy the non-haeme iron absorption increased continuously from less than 1 % in early pregnancy to almost 15 % in late pregnancy. Calculations indicated that the amount of iron absorbed from the diet covered only about half of the demands. The increasing absorption of food iron during pregnancy seems to be related to the still more increasing demands. However, the very low absorption values in early pregnancy was quite unexpected. The amount of iron absorbed was actually below the basal demands, which means that even in early pregnancy, for reasons unknown, there is a negative iron balance. Further studies are necessary to elucidate the significance of this finding. Two months after delivery the absorption of iron from the diet was increased compared to in non-pregnant women and exceeded the demands at that phase thus indicating that a positive iron balance was achieved.


Iron absorption in early pregnancy - a study of the absorption of non-haeme iron and ferrous iron in early pregnancy. The absorption of non-haeme iron in the food and from a 3 mg reference dose of ferrous iron in solution was measured in 17 healthy women before the 12th week of gestation and in 13 of the women two months after legal abortion. The absorption of ferrous iron in solution was calculated from determinations of the 55Fe activity in blood samples. The food iron absorption was measured from 59Fe-labelled test meals using a highly sensitive whole-body counter. In addition bone-marrow smears and other haematological parameters were studied. The median value of the absorption from the non-haeme food iron was 2.5% and from the ferrous iron salt 10.0 % in early pregnancy in women with storage iron. Two months after abortion the absorption increased to 12.6 and 42.6 % respectively. In early pregnancy the absorption of iron was higher in women without stainable iron in bone-marrow smears. The present results confirm previous observations that the absorption of food iron in early pregnancy is lower than the basal daily requirements. The low absorption is only partly explained by the reduced requirements of iron in early pregnancy. Some other factors related to pregnancy seem also to be involved.


Absorption of supplemental iron during pregnancy - a longitudinal study with repeated bone-marrow studies and absorption measurements. Iron absorption, bone-marrow smears and haematological parameters were repeatedly studied during pregnancy in 50 women. The same studies were repeated two months after delivery. The material was randomly divided into two groups. Twenty-four women were treated with 200 mg of ferrous iron daily while 26 were given placebo. The iron absorption was measured from radioiron-labelled test doses of 100 mg ferrous iron in a whole-body counter with high sensitivity. In the placebo group the iron absorption increased throughout pregnancy from an average of 6.5 % at the 12th week to 14.3 % at the 35th week of gestation. Two months after delivery the absorption was higher than initially. In the iron-treated group the absorption increased between the 24th and 35th week of gestation from 6.0 to 8.6 %. After delivery 5.5 % of the test dose was absorbed. The haemosiderin iron in the bone-marrow was mobilized during pregnancy. In the placebo group no woman had more than trace of haemosiderin in the bone-marrow smears at the 35th week of gestation. In the iron-treated group 65 % had the same bone-marrow findings. The amount of bone-marrow haemosiderin at term seems not to have the same significance for the diagnosis of iron deficiency in pregnancy as in non-pregnant subjects. Two months after delivery about 50 % of the women in the placebo group had restored their iron deposits. In the iron-group the haemosiderin content in the bone-marrow smears was enhanced in most women compared to early pregnancy. In the placebo group haematological data indicated a high frequency of iron deficiency in late pregnancy while in the iron-treated group iron deficiency was prevented.


Strontium-90 in deciduous teeth in Finland. A follow-up study. Deciduous teeth of Finnish children born in 1958-1967 were analysed for strontium-90 by means of Cerenkov radiation. The strontium-90 content was about 9 pCi/gCa in children born in 1963--1964; the values decreased strongly in the subsequent cohorts of children. The strontium-90 content of the deciduous teeth varied in perfect unison with that of cow's milk (r=+0.99). The results confirm that deciduous teeth provide a practical and accurate indicator of the total body burden of bone-seeking environmental pollutants.


Denture stomatitis. Relapse tendency and removal of acquired discolourations in long-term denture disinfection with chlorhexidine. Five patients with denture stomatitis were initially treated for 14 days with a combination of amphotericin B lozenges and denture soaking in 0.2% chlorhexidine. To prevent recurrence the dentures were then kept overnight in 0.2% chlorhexidine during five months. No relapse occurred, but the dentures (all-acrylic) became heavily discoloured by chlorhexidine. During this period fungi could not be grown either on palatal or on maxillar denture agar models, and clinical signs and symptoms were reduced further. At the end of treatment hypochlorite was used to remove chlorhexidine-induced denture stain. Brushing and soaking (0.16%) proved more efficient than brushing alone, and when a 0.60% solution was used, the stains were generally eliminated in two hours. Hypochlorites in the prevention and removal of chlorhexidine discolourations deserve further attention.


Strontium content of deciduous teeth in northern and southern Finland. A possible connection has been suggested between strontium and a low prevalence of dental caries. An investigation of this subject was initiated by measuring the strontium content of deciduous teeth by atomic absorption spectrophotometry in different regions in Finland. The material analysed consisted of a total of 2,482 tooth crowns and 392 tooth roots. The results showed that the Sr content of the tooth crowns in northern Finland was about two-fold that in the south, about 400 and 200 mug/gCa, respectively. The difference was apparently caused by corresponding differences in dietary strontium. The tooth roots contained much more Sr than the crowns, about 600 and 200 mug/gCa, respectively, in southern Finland, presumably owing to changes occurring in the dietary habits of the child during the development of the crowns and roots of the deciduous teeth.


The calcium orthophosphate solubilities as represented by a model in three dimensions. The construction of a model of the calcium orthophosphate solubilities has been described in detail. The model gives a true and easily comprehensible visualization of the complex interrelationships existing in phosphate systems. Examples of its application have been given as regards the stability fields, the biologic metastability, the congruent solubility, and the kinetics of dissolution and precipitation processes. As an instrument of assessing the solubilities in practical work, the usefulness of the model is further increased by including diagrammatic representations of the solubilities of Fap, CaF2, and CaCO3. The model virtually covers the whole field usually encountered in solubility studies. It is based upon an ionic strength of 0.05 and any complexation, ionic interaction, or specific ionic effects have been disregarded It is possible, however, to make the model to any scale and to construct it with a view to any purpose required.


Sex differences in craniofacial morphology. An x-ray cephalometric study was performed in a male and a female group of Danish dental students with the object of examining the sex-determined component of the cranial morphology, and of obtaining a control material for subsequent studies of pathologic samples. The cranial morphology was examined on the basis of measurements on x-ray cephalometric lateral and postero-anterior radiographs. The cranium was, on an average, smaller in the female than the male group except as regards the nasal bone, the foramen magnum and the inner orbital distance. The female group showed a more prominent frontal bone, and a less prominent nasal bone, than the male group.


Neonatal lines in human dental enamel. Occurrence in first permanent molars in males and females. The occurrence of neonatal lines (NL) in all cusps of the first permanent molar (M 1) has been investigated in complete series of M 1 from 16 males and 11 females. Previous investigations of newborn children gave reason to expect a lower frequency of occurrence in males. The present investigation showed that about one half of the males did not have NL in any of their four M 1's, while all females had NL in at least one tooth. This wound seem to indicate that on the average boys are less dentally mature at the time of birth than girls. At the same time, it opens up the possibility of a forensic sex assessment. When skeletal remains of children and young persons are in concern.


Mitotic activity in acute promyelocytic leukaemia and leukaemoid reactions. Bone marrow smears from 6 untreated patients with acute promyelocytic leukaemia (APL) and from 6 patients with leukaemoid reactions (LR) have been compared with smears from healthy controls. The mitotic indices of the granulopoietic precursor cells were significantly lower in the APL group and significantly higher in the LR group, both compared with the normals. Mitotic countings seem to be of diagnostic value for distinguishing APL from conditions simulating this disease.


Childhood lymphatic leukemia: prenatal seasonality and possible association with congenital varicella. A statistically significant seasonality by month of birth, which differed for children diagnosed as having acute lymphatic leukemia in the under 2, 2-3 and 4-9-year age groups, was observed in urban counties of upstate New York. This suggested that the mothers of patients diagnosed in these three age groups might have been exposed to leukemogenic factors during different trimesters, but with each trimester consisting of the same specific group of months. Since a similar birth-month seasonality was not observed in rural regions, it seemed likely that leukemogenic factors might operate with a greater regularity in urban areas. Using these observations and reported trends for acute leukemia in the United States and New York State (excluding New York City), an effort was made to determine whether varicella, influenza, rubeola or rubella had similar epidemiologic features. Only varicella manifested both the urban-rural differences in seasonality and concomitant variations in time trends that were comparable to reported mortality trends for acute leukemia. Rank correlation coefficients for varicella and lymphatic leukemia incidence rates by month were also statistically significant when leukemia cases diagnosed in the three age groups and born in urban countries, were placed in the month of their appropriate trimesters. A retrospective search of varicella case records identified 63 instances of this viral disease complicating pregnancy. Three children resulting from these pregnancies subsequently developed acute lymphatic leukemia.


Bone marrow necrosis.

Bone marrow necrosis. The clinical findings of bone marrow necrosis in 13 patients undergoing bone marrow examination to investigate a peripheral blood cytopenia or leukoerythroblastic blood smear were reviewed and compared to those in the literature. Excluding sickle cell disease, all cases of bone marrow necrosis diagnosed during life were associated with a neoplastic process involving the marrow. A myeloproliferative disorder was found in five patients, metastatic carcinoma in five patients, a lymphoma in two patients, and both a myeloproliferative disorder and metastatic carcinoma in one patient. Marrow necrosis was found to involve the marrow at multiple sites in a piecemeal fashion with areas of necrotic marrow and structurally intact marrow adjacent to each other. Severe bone pain without roentgenographic abnormality was the major symptom in 85% of the patients. Marrow and fat emboli, hypercalcemia and peripheral blood cytopenias were identified as direct complications of marrow necrosis. The prognosis of patients with marrow necrosis secondary to neoplastic disease was found to be extremely poor with a median survival of less than one month. However, one patient responded to antineoplastic chemotherapy and showed healing of the bone marrow.


Management of impacted canines.

Management of impacted canines. In this article an overview of the problem of impacted canines has been presented and some of the clinical considerations related to surgical management and types of attachments have been discussed. In the orthodontic management of impacted canines the clinician has to make certain decisions regarding one-arch vs. two-arch treatment and canine vs. first premolar extraction. The factors which might influence such decisions were also discussed.


The effect of different extraction sites upon incisor retraction. 1. From this study, it was found that in cases treated by the Begg technique one can anticipate greater retraction of the anterior dental units in nonextraction (see article) cases, in both types of premolar extraction cases, and in cases, involving extraction of first molars plus first premolars than would be expected on the basis of root surface area resistance values. 2. There is a likely explanation for this. Molars were maintained upright and allowed to move bodily only while incisors were not only moved bodily but often partially tipped as well. 3. The actual mean anterior retraction in first molar extraction cases exhibited a close approximation to the expected mean anterior retraction values in relation to root surface resistance values. 4. Second premolar extraction is one answer to overretraction and has the added edge of creating even less incisor retraction than second premolar extraction. 5. It was also found that the extraction of premolars alone did not result (see article) in a significant change in the increased eruption of the third molars into functional occlusion. A very significant improvement in the rate of sucessful third molar eruption was found in first molar extraction cases and in cases involving extraction of first molars plus first premolars. 6. The mean ages of the patients in the various treatment categories at the start of treatment were similar enough to each other to suggest that age at the start of treatment had no bearing on the success rate of third molar erup tion. Extraction-site selection seemed to be the dominating factor in successful third molar eruption. 7. It was found that the group of cases that exhibited the least amount of anterior retraction also inhibited the least amount of anterior relapse and, conversely, the group of cases exhibiting the greatest amount of anterior retraction also exhibited the greatest amount of anterior relapse. (see article) 8. The nonextraction cases, with no extraction space to close, were treated in the shortest mean time, while the eight-tooth (first molar plus first premolar) extraction cases having the greatest amount of extraction space required the greatest amount of mean treatment time.9. In conclusion, it can be said that changing the location of the extraction site resulted in a change in relative root surface areas of the opposing anchor units in the anterior and posterior segments. There was a definite and predictable change in the amount of anterior retraction achieved by varying the location of the extraction site. This should be considered in the diagnosis, so that a desired treatment goal for the final position of the incisors within the facial profile can be achieved.


Age changes in the human frontozygomatic suture from 20 to 95 years. The frontozygomatic suture of human cadaver material was examined by a combination of histologic, radiographic, and gross tecniques to determine the aging changes in the suture and the approximate age at which sutural fusion occurs. The sample consisted of sixty-One specimens of human beings ranging in age from 20 to 95 years.  Observations were made on specimens at age intervals of 5 years.  Since the frontozygomatic suture is bilateral, one suture from each specimens was used for radiographic and gross examination for synostosis, and the opposite side was subjected to histologic analysis.  The findings of this study have lead to the following conclusions:  1.  The human frontozygomatic suture undergoes synostosis during the eigth decade of life, but does not completely fuse by the age of 95 years.  2.  Synostosis is a progressive process which commences as small areas of bony union that occur initially within the internal portion of the suture and then progresses to the orbital perisosteal surface.  Bony union is not found at or near the facial periosteal surface.  3.  The bony surfaces of the frontozygomatic suture become increasingly irregular with advancing age as a result of the formation of projections or interifitations=


An evaluation of extraoral combined high-pull traction and cervical traction to the maxilla. The effects of extraoral combined high-pull traction and cervical traction of known duration (mean, 122 days) and magnitude (2.5 to 3 pounds total per side) were studied by means of serial lateral cephalometric head films of thirty patients. The lateral cephalometric head films used were taken at three different times: before the extraoral force was applied, after the prescribed period of continuous headgear wear, and as long as possible after the extraoral force was discontinued. Changes in the dentition and associated structures were described both for the period of continuous headgear wear and for an average of 3.2 years later. The following conclusions are based on statistical analysis of the observed changes: 1. The position of the maxilla and the palatal plane was not significantly affected by relatively short periods of extraoral combined high-pull traction and cervical traction to the maxillary first molars as used for this investigation. 2. The maxillary first molars can be moved distally and bodily with this appliance without extrusion. 3. On the average, the mandibular first molars uprighted distally in response to the extraoral force to the maxilla. 4. The maxillary and mandibular first molars demonstrated a strong tendency to recover to their original positions and inclinations relative to their respective bases during the posttreatment period. 5. The amount and direction of growth in the posttreatment period may be important in determining how the Class I relationship is maintained.


Case report. The nonspecific rheumatoid subcutaneous nodule: its presence in fibrositis and scleroderma. "Rheumatoid" subcutaneous nodules that were at one time considered diagnostic of rheumatoid arthritis or rheumatic fever have also been found in individuals withoug known disease, in patients with systemic lupus erythematosus, and in other conditions. In this report, subcutaneous nodules were described in one patient with fibrositis and in another scleroderma. Multiple pathogenic mechanisms are probably responsible for development of these nodules.


The cephalometric distinction of class II, division 2 malocclusion. Forty-two cases of Class II, Division 2 malocclusions were selected on the basis of Strang's first six steps. There were nineteen male and twenty-three female patients in the study. The average age was 12.5 years. These cases were compared with the normal sample of the Alabama Analysis. The Class II, Division 2 sample was compared to a sample of fifty-seven Class II, Division 1 cases. Means, standard deviations, and analyses of covariance, adjusted for age and sex, were derived. Illustrations show, numerically and graphically, the similarities and differences between Class II, Division 2 malocclusions and normal occlusions. Fig. 4 shows the comparison between the Class II, Division 1 and the Class II, Division 2 typical profiles.


Membrane excitation through voltage-induced aggregation of channel precursors. Electrically excitable lipid bilayers show the same voltage-dependent kinetics as nerve and other excitable cells. In the bilayers the gating process involves the voltage-dependent insertion of channel-forming molecules into the hydrocarbon region and their subsequent aggregation by lateral diffusion into an open "barrel stave channel." This process can account quantitatively for the classical Hodgkin-Huxley kinetics including inactivation as well as for certain kinetic features that lie outside the Hodgkin-Huxley domain. The multi- and single-channel kinetics suggest that both the insertion and the aggregation reate constants are voltage-dependent, and it is argued that a voltage-induced lateral phase separation between the lipids and the channel-forming molecules increases the local concentration of channel precursors and their aggregation rates. Because the observed aggregation rates are faster than those calculated from an upper limit of the diffusion constants and the known average concentration in the lipid phase, it is likely that the channel-formers preaggregate at the membrane surface. The structural characteristics of the channel-formers and the evidence supporting a similar excitation mechanism in nerve are discussed.


INtestinal sugar transport: studies with isolated plasma membranes. The luminal and the contraluminal plasma membranes of small intestinal epithelial cells were isolated separately and in the form of membrane vesciles. In the luminal membrane distinct transport systems exist for D-fructose and for D-glucose and glucalogs as evidenced by stereospecificity for the substrate, counter- and cotransport phenomena, and inhibitor specificity. D-Glucose is taken up against a concentration gradient when energy is supplied in the form of an electrochemical Na+ gradient between medium and intravesicular membrane space. The contraluminal membrane also possesses a glucose transport system. However, it is sensitive to different inhibitors than the glucose transport in the luminal membrane. D-Glucose uptake by the contraluminal membrane is not enhanced by Na+ gradients and can be characterized as "facilitated diffusion." The studies with the isolated plasma membranes allow a description of transcellular D-glucose transport in terms of the translocation events across single membranes.


Driving forces of amino acid transport in animal cells. Our observations on the response of TPP+ uptake into K+-depleted cells on the extracellular K+ concentration and on the addition of ouabain and amino acid appear to provide suggestive evidence of, or are at least consistent with, the operation of a powerful, K+-activated electrogenic pump. They are also consistent with the assumption that in these K+-depleted cells the active uptake of amino acid energized by the electric PD presumably generated by this electrogenic pump. It follows that an energy source other than the electrochemical potential gradient of Na+ ions need not be invoked to explain active amino acid transport with inverted Na+ and K+ distribution. In the presence of an electrogenic cation pump one should expect that owing to the activity of this pump the electrical PD is raised under these conditions to a value outweighing the opposed chemical potential gradient of Na+. The experimental evidence so far available is clearly consistent with such an assumption.


Isolation, properties, and structural features of divalent cation ionophores derived from beef heart mitochondria. The notion of small molecular weight ion carriers in biological systems is herein documented by a description of the isolation and ionophoretic properties of a family of oxyoctadecadienoate congeners derived from beef-heart mitochondria. Although certain members of this family of compounds have been shown to possess unique ionophoretic properties, one should not lose sight of the fact that the compounds that we have described represented only a portion of the total picture. Other chemically unrelated, yet structurally unknown species have been isolated from beef-heart mitochondria, and compounds similar in both chromatographic and spectroscopic properties to the oxyoctadecadienoate family, as well as other unique structures, have been isolated in our laboratory from sarcoplasmic reticulum and chloroplasts. The important points to be derived from these findings are that there is an apparent abundance of natural ionophores and we should no longer concern should address ourselves to the more relevant task of digging them out and ourselves with the question "are there ionophores in biological systems?" but describing their chemical and physical properties. In view of the apparent abundance of natural ionophores, this is an enormous task, especially when one considers that it only represents half of the problem. The isolation and description of the ionophoroprotein or channel-forming complexes share equally in the overall significance and level of understanding attributable to this area of inquiry and it would appear that many fruitful collaborative ventures are, or should be, on the horizon.


Aleukemic leukemia cutis.

Aleukemic leukemia cutis. Specific leukemic cutaneous infiltrates preceded observable leukemic cells in the blood in a case of acute lymphoblastic leukemia. Examination of a cutaneous biopsy specimen led to early diagnosis of the disease.


Myelomonocytic leukaemia following cyclophosphamide therapy of rheumatoid disease. A 69-year-old woman treated for 31 months with daily oral cyclophosphamide for refractory rheumatoid disease developed acute myelomonocytic leukemia 21/2 years after stopping the drug. The possibility of a casual association between the therapy and subsequent leukaemia is supported by the growing experience with cytotoxic agents.


Chronic granulocytic leukemia. Review of 536 cases. The Western Cancer Study Group (WCSG) retrospectively reviewed chronic granulocytic leukemia (CGL) diagnosed during 1960 to 1974 from 22 institutions. In 100 cases, patients had positive findings for the Philadelphia chromosome (Ph'+). In 426 cases karyotyping was not done (Ph'?). Ten patients had no Ph' chromosome (Ph'-). The ten Ph'- patients ranged in age from 8 to 85 years and in survival from 1 to more than 125 months. Their small number and heterogeneity precluded statistical analysis, but this notable heterogeneity of the Ph'- group may well be typical. Busulfan prolonged survival in the Ph'+ and Ph'? patients. Females and younger patients tolerated their disease better than males and older patients. Survival studies without reference to the Ph' status, treatment, age at diagnosis, and sex are probably not valid.


An adhesive paint-on restorative for tooth surface defects. The physical properties of an adhesive paint-on restorative material have been examined and it is shown that the adhesion to enamel is good, its compressive strength about equal to silicate, hardness is less than for composite resins, and stain resistance is good.


Oral surgery in general dental practice. Assessment of lower third molars. Methods of pre-operative assessment of impacted lower third molar teeth are discussed and the main diagnostic features are stressed in order to ensure that the pracitioner fully comprehends the nature and difficulty of the procedure.


Odontogenic cystic lesions of the jaws.

Odontogenic cystic lesions of the jaws. In a period of ten years 64 patients with odontogenic cystic lesions were found in 80,408 patients attending the Dental Out-Patient Department, All India Institute of Medical Sciences Hospital, New Delhi. Two-thirds of the lesions were found in male patients and no neoplastic lesion was recorded in the maxilla. There were more periodontal cysts in the maxillary than in the mandibular incisor region. The majority of lesions were found in age groups 10-40 years.


Teeth and infective endocarditis.

Teeth and infective endocarditis. Despite a lack of certain knowledge regarding the role of the teeth in the aetiology of endocarditis, antibiotic prophylaxis should be given before gingival blood vessels are opened in cases of rheumatic heart disease. Much higher doses are required in patients with prosthetic heart valves. Full clearance of the teeth should be considered when a patient has already had an attack of endocarditis or where a prosthetic heart valve has been placed. Strict oral health is required in patients at risk.


Metallographic changes and phase identification in a nickel base alloy upon fusion and casting. Three groups of tensile test pieces were produced using a nickel base partial denture castin alloy and employing induction fusion in each case. The first group was produced from new metal, the second from metal which had been recast four times, and the third from new overheated metal. Samples of alloy were cut from each group and, together with a piece from an original ingot, were mounted, polished, etched, and examined under a metallurgical microscope in order to determine the nature and extent of the metallographic changes resulting from fusion and casting of the alloy.


The oral health of a group of dental students. The oral health of sixty-two dental students was examined over an interval of two or three years. The results were recorded and certain conclusions reached.


Darwin dental survey--1972.

Darwin dental survey--1972. An examination limited to the recording of dental caries, periodontal disease and oral hygiene of 1592 children aged 3-14 years resident in Darwin, Northern Territory of Australia was made in August, 1972. Ther survey provides base-line data for future assessment of the value of fluoridation. Forty-two per cent of the children had received regular fluoride supplements and dental caries prevalence was lower than expected for a non-fluoridated Australian community.


A clinical trial of the efficacy of a cetylpyridinium chloride-based mouthwash 1. Effect on plaque accumulation and gingival condition. A commercially avaiblable mouthwash, containing 0.05 per cent w/v cetylpyridinium chloride, reduced dental plaque accumulation by 30 per cent in a clinical trial when used briefly, three times a day, after meals.


Abandoning the mentally ill.

Abandoning the mentally ill. Mentally ill people have been avoided and abandoned by their families and public authorities for hundreds of years. Present day abandonment includes the deployment of professionals from patients to paper; the destruction of availability and effectiveness of institutional facilities; the obfuscation of mental illness by captious, sematic criticism; the aspirations of paramedical and paraprofessional groups; and the subordination of the primary purpose of institutions and physicians to other objectives. The nature of authority is discussed and the need for the treatment of mentally ill people to be based on the art and science of medicine, rather than the pretension and advocacy of the gullible, unqualified or unscrupulous, is noted.


Coping behaviour: correlates of survival on a raft. The seven survivors of a shipwreck, involving ten men, were interviewed within a few days of rescue. They had been floating in a rubber raft for 9 days and had thereafter been on an isolated rocky beach for four days. Three of the men walked through dense bush to obtain help. Rescue came on the thirteenth day. The purpose of the authors' examination was to identify those behaviours which the survivors reported as helping them to cope during their ordeal. The most prominent of these were attachment ideation, drive to survive, modelling, prayer and hope. Attachment behaviour is described in some detail as a most potent, but inadequately recognised coping behaviour.


Changing patterns of psychiatric hospitalization in past fifty years: a cohort study. Nine cohorts of patients admitted between 1919 and 1962 have been followed up until 1971. Comparison has been made in terms of sex and age specific incidences of selected psychiatric disorders throughout the whole period. The results of treatment have been evaluated in terms of discharge and death rates, length of stay, re-admission rates to psychiatric institutions and total period under hospitalization. These data have been compared with those available since the introduction of the statistical system in Victoria in 1961.