Bone remodeling in periodontal lesions.

Bone remodeling in periodontal lesions. This study was designed to investigate sites of major alveolar bone formation as a result of resorption of the interdental crest in periodontal lesions. Bone samples were taken from twelve patients requiring surgery as part of their periodontal treatment. Tetracycline was used in all cases to label bone recently formed. The selected areas were periodontal pockets ranging in depth from 6 to 8 mm. The bone deformities were of crater-form configuration. The buccal and lingual plates were removed. Later, the dehydrated speciemns were embedded in bioplastic and cut to sections 70 mu thick. Controls were healthy pieces of bone taken from the same patient in unaffected areas. Yellow fluorescent tetracycline labeling was observed in both periosteal and trabecular bone. In the trabecular bone, labeling was exhibited in the lamella of some Haversian systems, away form the bone resorption. There was a direct relationship between bone resorption and bone apposition as seen by the presence of tetracycline in the buccal and lingual alveolar plates. Controls showed only minimal labeling. The results of this study have posed the question as to whether inflammation could be the stimulus in the reactivation of osteocytes or bone formation, in the buccal and lingual walls of the periodontal lesions.


Amino acid composition of experimental salivary pellicles. The amino acid compositions of pellicles formed in vitro from submandibular, parotid, and mixed saliva were determined and compared. Samples of the total pellicles as well as the relatively acid-soluble supernates and acid-insoluble sediments were collected and analyzed. In each instance striking differences in composition between the pellicle and the saliva from which it was formed indicate that pellicle formation is a highly selective process. The similarity in composition of the total and fractionated submandibular-parotid pellicle samples indicated a representative dissolution of the total mixed pellicle in the collection acid, rather than a preferential dissolution of part of the total pellicle. In the case of the pellicles formed from the isolated submandibular and parotid salivas, the supernate and the total pellicle were quite similar in composition, but differed somewhat from the sediment. Those results indicate that most of the salivary pellicle is soluble in the dilute acid used to collect the pellicle, and that a portion of the total submandibular or parotid salivary pellicle dissolves preferentially. The compositions of the total parotid pellicle and the parotid supernate and sediment were remarkable similar to the counterparts formed from submandibular saliva alone, suggesting similar origins and mechanisms of formation.


Elastic response of the temporo-mandibular joint to very small forces. The mechanical mobility of the temporo-mandibular joint (TMJ) was measured by applying small sinusoidal forces at different frequencies to the teeth and measuring the resultant motion of the teeth. Velocity/force ratios were recorded versus frequency at maxillary and mandibular teeth and the results were interpreted in terms of linear spring-mass-dashpot models. Differences in results obtained at maxillary and mandibular teeth indicate that the TMJ has an effective spring constant of 9 X 10(7) dynes/cm when excited by forces of approximately 2 X 10(3) dynes. Displacements occurring in the TMJ due to orthodontic elastics will be in the order of 20 mum which is between one and two orders of magnitude smaller than could be detected by radiography.


Outline of standards for evaluating patients for overdentures.


Denture stomatitis and methods influencing its cure. A review of the etiology and pathology of chronic denture stomatitis is presented, and two current methods of treatment have been evaluated. The concept of use of tissue conditioning materials is discussed and has proved to be helpful. The physical condition of the patient and his cooperation during and after treatment were observed to be significant factors in the treatment of chronic denture stomatitis. This study was preliminary in nature. Before more conclusive judgements can be made, standard methods should be developed for quantifying the improvement for patients with chronic denture stomatitis. In a more comprehensive study, steps could be taken to guard against investigator bias.


An evaluation of an enzyme denture cleanser.


Porcelain shade stability after repeated firing. There were no color changes detected in the first five firings for both air- and vacuum-fired porcelain. Slight changes were noticed in subsequent firings. These color changes were more noticeable in the air-fired samples than in the vacuum-fired samples. However, changes in the porcelain color after repeated firing were not sufficiently significant to cause rejection of the samples. The porcelain shade remains stable with repeated firing if the firing procedure is carefully carried out.


Telemetric determination of anteroposterior functional occlusal contact positions--A preliminary report.


The crisis of cancer: challenge to change.


Prosthodontic management of the cleft-palate patient: a speech pathologist's view.


Surgical management of malignant maxillary sinus tumors.


The future of the American Board of Prosthodontics.


Clinical results of the measurement of occlusal wear of complete dentures.


Temporomandibular joint function and its effect on concepts of occlusion.


DID: a direct measure of delegation.

DID: a direct measure of delegation. The DID measures the degree of delegation existing in a dental practice at a given time. Its four elements are: 1) the delegable tasks, 2) the personnel involved, 3) the task frequency, and 4) the task time. The formula yields the ratio of the Maximum State of Delegation to the Actual State of Delegation or, in other words, the theoretical potential for delegation divided by the observed state of actual delegation. Both are expressed in cost-related terms based upon the relative costs of the personnel in the practice. The DID has merit as a diagnostic tool to aid the practitioner in assessing his/her staff use. For example, a low DID might indicate an overqualified staff for his/her patient load, or underutilization of auxiliaries. The DID can also be used to compare levels of delegation between several practices at a given point in time. Such an application was made for 17 Washington private practices. In using the DID, it was found that delegation levels varied among the 17 practices; however, on the average the degree of delegation approached only one third of the maximum allowed under law. The DID, in its direct approach to task delegation, is a concept that can be applied to dental practices and, with appropriate adaptation, to other health care settings as well. All the influences on the DID and delegation, however are not fully understood and further study is warranted.


Dental students in a neighborhood clinic: a review after six years.


A method for recording and numerically scoring quality of dental restorations.


A comparison of two oral hygiene indexes for measuring the effectiveness of dental floss in plaque removal. The purpose of the present study was to compare the OHI-S and the two versions of PHP Index in measuring the effectiveness of dental floss in the removal of dental plaque. The study demonstrated that the PHP Index provides a higher sensitivity than the OHI-S in measuring the effectiveness of approximal cleansing aids, such as dental floss. This, it seems that using the PHP Index in dental floss studies is preferable to using the OHI-S.


Welcome "other dental health professionals".


Attitudes toward the use of expanded-function dental auxiliaries as a function of provider characteristics and participation in expanded-function training.


Synthesis of mono- and bifunctional alpha-methylene lactone systems as potential tumor inhibitors. Synthetic nono- and bifunctional alpha-methylene lactone derivatives including deoxyvernolepin and kihydrodeoxyvernolepin were tested as inhibitors of the growth of CCRF-CEM human lymphoblastic leukemia cells in culture. The range of ID-50 values for compounds 1-7 (ca. 10(-5)-10(-6)M) was roughly comparable to the doses observed earlier in the CCRF-CEM cell system with synthetic alpha-methylene-gamma-butyrolactones. Of significance is that dihydrodeoxyvernolepin and deoxyvernolepin were at least an order of magnitude more active than natural vernolepin.


Newer concepts in management of migraine headaches.


Cecarean hysterectomy for sterilization: is it worthwhile? 150 Caesarean hysterectomies performed from January 1, 1968 to December 31, 1972, at the New Jersey Medical School, are evaluated to determine the safety and efficacy of this method of permanent sterilization.  12 of the hysterectomies were considered to be life-saving procedures because of bleeding.  The patient was offered a choice of Caesarean hysterectomy or Caesarean section plus tubal ligation.  The majority of the women were from a low socioeconomic group, aged 32 years, parity 6.2 in the elective group and 5.8 in the emergency group.  Operating time was under 2 hours.  Postoperative stay was 7.4 days for elective surgery and 8.7 days for emergencies.  The need for blood transfusions is 1 of the major drawbacks of Caesarean hysterectomy.  48 patients in the elective group had coexisting uterine pathology.  Thus in the presence of other pathology indicating need for future hysterectomy it is the treatment of choice.


Occupational hearing loss.

Occupational hearing loss.


Anticonvulsant osteomalacia: prophylaxis with vitamin D in institutionalized adult patients.


Management of the solitary breast mass.

Management of the solitary breast mass.


Long-term follow-up of a congenital aneurysm of the membranous ventricular septum.


Solitary ulcer of the rectum. Case report and review of the literature.


Quality assurance in graduate education in family medicine.


Medical necessity and PSRO.

Medical necessity and PSRO.


Vaginal and cervical cancers associated with exposure in utero to diethylstilbestrol.


Professional liability. Medical malpractice: evolution of a statute of limitations.


The private practitioner.

The private practitioner.


The swine influenza vaccine lesson.

The swine influenza vaccine lesson.


From our patients we shall learn.

From our patients we shall learn.


Family Medicine Preceptor Program.

Family Medicine Preceptor Program.


Acute disseminated intravascular coagulation and uterine atony.


Spontaneous pneumothorax as a manifestation of pulmonary disease.


Surgical management of left ventricular aneurysms.


The practicing physician and smoking cessation.


Tracheal stenosis.

Tracheal stenosis.


Case reports: Hypercalcemic crisis in parathyroid carcinoma.


Reversal of imipramine cardiotoxicity with physostigmine.


Health education in New Jersey public schools.


Enhancement of tumor induction in rats with Moloney murine sarcoma virus by a "new" method based on direct injection into fetuses. Undiluted, fivefold-diluted, and 25-fold-diluted doses of a stock of Moloney murine sarcoma virus were injected directly, in a volume of 0.025 ml, into the backs of fetal Sprague-Dawley rats by laparotomy through the uterine wall at 18 days of gestation. During the first 8 weeks after birth the young responded to the virus with remarkably high but dose-dependent incidences of neoplasms. When a one-fifth dilution of the virus preparation was inoculated at fetal ages 16, 18, and 20 days, the incidences of lesions decreased with advancing fetal age. The tumors developed preferentially at the virus inoculation site and/or in the proximal parts of the extremeties; all were considered to be of mesenchymal derivation, i.e., malignant mesenchymoma, rhabdomyosarcoma, osteosarcoma, fibrosarcoma or fibromyxosarcoma, hemangiosarcoma, plasmacytoma, and a giant cell tumor. This injection procedure provided us with a valuable experimental tool for the rapid screening or testing of potential chemical carcinogens and other biologic studies.


A new familial cancer syndrome? A spectrum of malignant and benign tumors including retinoblastoma, carcinoma of the bladder and other genitourinary tumors, thyroid adenoma, and a probable case of multifocal osteosarcoma. An 11-year-old Caucasian girl who had been cured of bilateral retinoblastoma developed non-radiation-induced osteosarcoma in multiple sites of the extremities. Investigation of the medical histories of 36 of her family members through six generations revealed that 8 relatives on the maternal side (22%) had malignant tumors, predominately genitourinary carcinomas, 2(6%) had benign tumors only, and 2(6%) had both benign and malignant neoplasms. The histologic variety of these tumors, the predominance of genitourinary carcinoma, the higher than expected frequency of tumor appearance over six generations, and the occurrence of malignant tumors in direct lineage suggest that the case of retinoblastoma followed by osteosarcoma is part of a familial cancer syndrome.


Ultrastructural study of liver sinusoids of mice during invasion by leukemic myelocytes. Results of an ultrastructural study of liver of RF mice during invasion by leukemic  myelocytes were reported. In early stages of infiltration, leukemia cells adhered to the endothelial cells of the sinusoidal wall; gaps 1-4 mu in diameter then developed in the endothelium, and leukemia cells passed through the gaps to enter the extravascular space. Other sinusoids became occluded by leukemic myelocytes, the endotheilium disintegrated, and the occluding cells thus became extravascular. In late stages of infiltration, when leukemia cells migrated back into the sinusoids, the endothelium was continuous and leukemia cells passed through temporary pores located within endothelial cells.


Intratibial Moloney sarcoma virus-induced osteosarcoma in the rat: tumor incidence and pathologic evaluation. Osteosarcomas were induced in approximately 80% of young New Zealand Black rats by the intratibial inoculation of Moloney murine sarcoma virus from day 1 to day 5 after birth. The neoplasms were composed of a spectrum of well-differentiated to poorly differentiated osteoblasts, osteocytes, and osteoclasts. Budding of C-type viral particles was associated with tumor induction. Compared to rats inoculated on day 1 after birth, rats inoculated at 4 days of age developed consistently more osteoproliferative bone tumors that often were associated with hypercalcemia, increased serum alkaline phosphatase, and elevated urinary hydroxyproline.


Vinylethylnitrosamine: a potent respiratory carcinogen in Syrian hamsters. Vinylethylnitrosamine (VEN), an alpha-beta unsaturated analogue of diethylnitrosamine (DEN), which may be formed by the enzymic conversion necessary for carcinogenesis, was synthesized and its biologic effect was examined by sc administration to Syrian hamsters. Distribution studies showed that the maximum amount of unaltered compound was found in various tissues 45 minutes after injection. The chemical was only partially excreted unchanged after 5 hours. Weekly treatment for life resulted in high incidence of malignant respiratory tract neoplasms with short latencies and in tumors of the upper digestive tract and pancreas. The effects of VEN were compared to those of the assumed parent compound, DEN.


Successful treatment of varicella pneumonia with prolonged extracorporeal membrane oxygenation in a child with leukemia. A 5-year-old boy with acute lymphoblastic leukemia in complete continuous remission developed life-threatening varicella pneumonia and acute respiratory insufficiency (ARI). The child recovered after 92 hours of partial venoarterial perfusion with a membrane oxygenator. Functional asplenia developed. Serial pulmonary function tests after perfusion indicate moderately severe restrictive lung disease which has slightly improved during an 18 month period.


Chronic myelocytic leukemia with a masked Ph1 chromosome.


Health: a matter of statistics or feeling?


Defective chemotaxis in monosomy-7.

Defective chemotaxis in monosomy-7.


Immunologic studies in contacts of osteosarcoma in humans and animals.


Hoover's sign--rejuvenated and amended.

Hoover's sign--rejuvenated and amended.


Hospital facilities for alcoholics in North Carolina.


Amphetamine induces anorexia even after inhibition of noradrenaline synthesis.


Gilles de la Tourette's syndrome: clinical, genetic, psychologic, and biochemical aspects in 21 selected families. Eighty-one patients and relatives with Tourette's syndrome, members of 21 selected families, participated in a 1-day clinic. In 12 of the 13 Jewish families and six of the eight non-Jewish families, there were multiple members with motor and vocal tics by observation or history. Males predominated among those with persistent symptoms, but among those with spontaneous clearing, females predominated. Twelve propositi had troublesome sexual and aggressive impulses, differing only quantitatively from normal. No evidence of abnormality was found in plasma dopamine beta hydroxylase, or norepinephrine levels.


Residual acid maltase activity in late-onset acid maltase deficiency. Residual acid maltase activity was found by a sensitive fluorometric assay in muscle biopsies from 15 patients with late-onset acid maltase deficiency (mean, 6.91 percent; range, 2.4 to 12.2) but not in biopsy or autopsy muscle from three patients with the infantile form. Electrophoresis, kinetic characteristics, and subcellular fractionation indicated that the residual activity was lysosomal acid maltase and not a contaminating isozyme of neutral maltase. There was no correlation between the amount of residual acid maltase activity and the severity of the clinical picture or glycogen accumulation. The presence of acid maltase activity in muscle, liver, and, to a greater extent, leukocytes in late-onset but not infantile acid maltase deficiency and the failure of the two disease forms to occur in the same family suggest that they are genetically distinct.


Family medicine residency program in semirural setting. Development of a plan.


Munchausen syndrome. Problematic diagnosis.


Sarcoidosis in husband and wife.

Sarcoidosis in husband and wife.


Mondor's disease with carcinoma of breast.


Candidiasis and sarcoidosis.

Candidiasis and sarcoidosis.


Potential hazards of hertzian radiation and tumors.


Impact of government on the practice of medicine.


Expert testimony to promote rather than obstruct justice.


Is lactic acidosis "spontaneous"?

Is lactic acidosis "spontaneous"?


Aortic valve replacement utilizing Magovern-Cromie prosthesis. Late follow-up.


Prostaglandin F2alpha, hypertonic saline, and oxytocin in midtrimester abortion.


Utilization of hospital resources by community health programs.


Parasitic infections in New York City. Incidence and epidemiology.


Prolonged hypotension and coronary occlusion.


Electrocardiograms of the month.

Electrocardiograms of the month.


Allies in health.

Allies in health.


Principles of medicine.

Principles of medicine.


The problem--towards a resolution.

The problem--towards a resolution.


The use of amalgam to protect remaining tooth structure.


Potential hazards of concomitant drug therapy.


Undergraduate dental education.

Undergraduate dental education.


Attitudes of the public to medical care: Part 8, "Non-Medical" Practitioners. A random sample of respondents in Dunedin and Auckland was surveyed to obtain details of utilisation of various aspects of health services and also opinions and knowledge of these services: a section of the survey dealt with "non-medical doctors". A miniority of respondents or their families had made use of such services (13.2 percent) in the previous five years, compared to 47.1 percent utilising medical specialist services and almost 100 percent utilising general practitioner services in the same period. The number of items of services for one patient with one consulting cause was high. The mean being just under eight and in one fifth of cases was 15 or more. Most respondents considered that the services of non-medical practitioners could sometimes be useful and one-third would consider consulting such practitioners themselves, although most would consult an orthodox doctor first. Only one-fifth of respondents were willing to see Government financial support for non-medical practitioners.


Drug-induced sclerosing peritonitis.

Drug-induced sclerosing peritonitis. The records and case reports of 20 patients presenting with practolol induced sclerosing peritonitis have been reviewed revealing striking similarities: symptoms and signs of bowel obstruction or the presence of a vague abdominal mass in a patient who is currently taking or has previously taken practolol should alert one to the possibility of sclerosing peritonitis as the cause. Skin or eye reactions attributed to practolol provide further strong support for the diagnosis. Although practolol has now been discontinued in New Zealand its effects may become manifest months or years later.


Special Unit and Medical School Laboratory Technicians in New Zealand. A follow-up review and survey of training and qualifications 1970-1975. In 1970 a survey was undertaken to ascertain the training opportunities and career prospects of laboratory technicians employed in medical research and special unit laboratories. After an interval of five years a follow-up survey was undertaken in an attempt to reassess numbers of technicians employed, qualifications, and training course preferences. This 1975 survey has revealed an increase from 26 to 49 departments undertaking laboratory investigations. There was also a 100 percent increase in the number, 150 to 290, of technicians employed. Heads of departments and senior staff responsible for employment have indicated a concern for and a high degree of satisfaction with technical institute courses and the certification authority's qualifying system in the field of technician training.


Dietary fibre in perspective.

Dietary fibre in perspective.


Health problems of a South African tribal homeland.


Carcinoma of the lung presenting as Cushing's syndrome. A case of bronchial carcinoma of the lung presenting as Cushing's syndrome is described. The clinical features and laboratory investigations leading to the diagnosis are outlined. The autopsy findings, histology and the ultrastructure of the tumour are illustrated and the literature is reviewed.


Incoming president's address.

Incoming president's address.


Outgoing president's address.

Outgoing president's address.


Responding to the anti-trust thrust.

Responding to the anti-trust thrust.


Biofeedback: an innovative approach to dental problems?


Code of ethics (revised December, 1976). The Dental Society of the State of New York.


The DSSNY professional liability insurance program. An overview of its status.


Second dentition and school readiness.

Second dentition and school readiness.


Tooth mobility: etiology and rationale of therapy.


Another look at screening for oral cancer.


Clinical assessment of a new local anesthetic agent-carticaine. The combination of 4 per cent carticaine 5 mug per milliliter with epinephrine is an effective agent acting in the standard lidocaine-epinephrine-mepivacaine-epinephrine range. Like lidocaine, it is of no clinical value without the addition of epinephrine and its vasodilator properties are greater than those of mepivacaine or prilocaine. Its onset time is reasonably rapid, its duration and extent are satisfactory for clinical purposes, and no toxic reactions were noted in the 100 injections given. However, its predictability for +4 anesthesia is poor, and there is wide variation in the onset time. Finally, the success rate compared with that for lidocaine, mepivacaine, or prilocaine for the same dosage and areas, with the use of the same criteria, is not good enough in my opinion to qualify carticaine as a general-purpose anesthetic on a par with standard lidocaine.


Histologic changes following the grafting of connective tissue into human gingiva. Grafting connective tissue from the palate to partial-thickness sites prepared in patients with an inadequate width of attached gingiva resulted in an increased width of keratinized mucosa. Biopsies of these grafts at the newly created mucogingival junction at 24 weeks showed the epithelium to be keratinized with a normal architecture, except over scar tissue at the edges of the grafts, where rete-peg formation was absent. The results support the concept that morphodifferentiation of gingival epithelium is influenced by the underlying connective tissue.


Plasma-cell granuloma of the gingiva.

Plasma-cell granuloma of the gingiva. A case of plasma-cell granuloma of the attached gingiva has been presented. The lesion was pedunculated and, clinically, resembled a traumatic fibroma. The microscopic picture was that of plasma-cell granuloma. Serum electrophoresis and radiographs were normal. A diagnosis of plasma-cell granuloma confirms a benign lesion of the oral cavity which must not be confused with the plasmacytoma, a possible precursor to multiple myeloma. This case emphasized the need for biopsy of lesions in order to establish a diagnosis. Only by biopsy and histologic study can rare lesions be diagnosed and their incidence studied.


Surgical management of submandibular sialadenitis and sialolithiasis.


An epilogue to plasma-cell gingivostomatitis (allergic gingivostamtitis). Sixteen cases of plasma-cell gingivostomatitis were studied at the University of California San Francisco between 1966 and 1971. Twelve women and four men made up the group, with ages ranging from 15 to 70 years. Prior to treatment, the duration of the disease ranged from 5 to 60 months. Each of the sisteen patients manifested a homogeneous, diffuse, erythematous gingivitis associated with a cheilitis, and fifteen also had a marked glossitis. Each subject was symptomatic, and nine also complained of bleeding. Every biopsy specimen demonstrated a characteristically diffuse and dense plasma-cell infiltrate. There were no spontaneous remissions. Six patients completely responded to systemic corticoids alone, two to discontinuation of gum chewing or the use of their dentifrice, one to antifungal therapy, and the other seven to a combination of the preceding modalities. After completion of therapy, fifteen patients were followed for 2 to 55 months without any evidence of recurrence. Of interest, 69 per cent were gum chewers. The therapeutic benefit of discontinuing gum chewing by itself was not clear. It is assumed that the now nonexistent plasma-cell gingivostomatitis syndrome was a hypersensitivity response to an unidentifiable antigen used in various substances.


The odontogenic keratocyst. A clinicopathologic study of 312 cases. Part II. Histologic features. The histopathologic features of 312 odontogenic keratocysts are described. These features are discussed in relation to their pathogenesis and behavioral characteristics, including recurrence factors and neoplastic potential. In addition, a discussion and comparison of the histologic features found in solitary keratocysts, keratocysts associated with the basal-cell nevus--bifid rib syndrome, multiple keratocysts in patients with no other syndrome manifestations, and recurrent kerocysts is presented.


Ultrastructure of eosinophilic bodies in the degenerative surface epithelium of chronic hyperplastic oral lesions. Eosinophilic bodies were located extracellularly in the dilated intercellular spaces of degenerative epithelial cells. They consisted of electron-dense amorphous material with many scattered mature fibrin fibers. Eosinophilic bodies were PAS positive, mucicarmine negative, alcian blue negative. A large number of lysosome-like bodies with homogeneous electron-dense content were present in the cytoplasm of the surrounding degenerative epithelial cells. The plasma membrane of these cells was intact and there was no outpouring of tonofilaments or keratohyaline granules into the intercellular spaces. With the results of the present study, it is suggested that eosinophilic bodies are probably an exudate of plasma fluid accumulated in the dilated intercellular spaces of superficial degenerative cells.


Dentine dysplasia with sclerotic bone and skeletal anomalies inherited as an autosomal dominant trait. A new syndrome. Patients with teeth showing all of the clinical, radiographic, and histologic features of radicular dentine dysplasia (type I) have been found to have dense sclerotic bone and skeletal anomalies of the wrists and hand bones. The association of these defects of teeth and bone was found to be transmitted as an autosomal dominant trait over four generations. Review of theliterature failed to disclose a previous description of this disorder.


The root treatment of teeth with Toxavit. Report of a case.


Evaluation of dental radiology students in Canadian dental schools. Evaluation involves the worth of an experience, idea, or process and is an integral part of dental education. The current article discusses a survey of dental radiology evaluation in Canadian dental schools. It appears that in Canada students are evaluated formally in didactic aspects of radiology, interpretation of radiographs, and clinical aspects of dental radiology.


Osteomyelitis with proliferative periostitis (Garré's osteomyelitis). Report of a case affecting the mandible. A case of chronic osteomyelitis with proliferative periostitis of the mandible is reported. This is a unique form of osteomyelitis characterized radiographically by localized thickening of the periosteum and deposition of laminated subperiosteal bone.


Pathologic tooth fracture.

Pathologic tooth fracture.


Retained root fragments along septa in the maxillary sinuses.


A pea in the cheek.

A pea in the cheek.


Acute measles encephalitis in children with immunosuppression. Four cases of encephalitis occurring in children treated for lymphatic malignancies by immunosuppressive drugs are reported. Measles virus was isolated from the brain in one case and identified immunologically in another. Nucleocapsids identical to those seen in subacute sclerosing panencephalitis were demonstrated in three cases. Severe immunosuppression was evidenced in two patients by failure of rosette formation and low phytohemagglutinin tests. Pathologically, the inflammatory reaction was absent in one brain and moderate in two. Clinically, epilepsia partialis continua was a prominent feature in three patients. A history of measles or of contact was elicited in three cases, five weeks to three months before onset. All cases ran an acute fatal course. Measles virus can behave as an opportunistic invader of the central nervous system in children and the diagnosis of measles encephalitis should be considered in immunosuppressed patients.


Current concepts in acute leukemia.

Current concepts in acute leukemia. Using chemotherapeutic agents in combination instead of separately has significantly improved the outlook for patients with acute leukemia. The rate and duration of complete remission have both increased substantially. Immunotherapy, recently introduced for use with chemotherapy, appears to prolong survival.


A novel prostaglandin is the major product of arachidonic acid metabolism in rabbit heart. The prostaglandins (PGs) released from the heart have generally been characterized as resembling PGE by bioassay techniques. The major PG formed from [14C]arachidonate (C20:4) by the isolated perfused rabbit heart has chromatographic mobility similar to that of PGE2 in most solvent systems. However, additional analysis of this radioactive "PGE" peak suggests that two substances are formed by the heart and migrate like PGE2: one has chemical properties similar to those of authentic PGE2 and the other is a novel PG. The unknown compound is the major PG formed by the heart from either exogenous arachidonate or hormonal stimulation of PG biosynthesis. The novel PG produced by the heart may be identical with either 6(9)-oxy-PGF or 6-keto-PGF1 alpha.


Synthesis of a 19-residue peptide with alamethicin-like activity. This paper describes the chemical synthesis of a compound with voltage-gating characteristics similar to those observed in nerve membranes. For alamethicin (ALA), a natural antibiotic that induces such properties in lipid bilayer membranes, there are two proposed structures, one a cyclic and the other an open chain peptide. The open chain sequence (ALA-o) proposed by Martin and Williams [(1976) Biochem. J. 153, 181-190] was synthesized by stepwise solid-phase condensation of four fragments prepared by solid-phase synthesis. The product, purified to homogeneity, was not identical with the main component of natural ALA. Nevertheless, in lipid bilayer membranes the exponential dependence of conductance on voltage and the dependence of conductance on a high power of the peptide concentration were qualitatively similar for ALA-o and for natural ALA. Like ALA, ALA-o showed the characteristics of a channel-former, although the single-channel conductances were less well defined for the synthetic compound. This work establishes that a cyclic structure is not a necessary condition for a peptide to induce voltage-dependent conductances in membranes and that ALA-o possesses all the structural elements required for such an activity.


Actin microheterogeneity in chick embryo fibroblasts. Secondary chick embryo fibroblasts contain three distinct actin species--alpha, beta, and lambda, in the approximate ratio of 1:6:3--with the same molecular weights but different isoelectric points. The most acidic of these components, alpha, comigrates on isoelectric focusing gels with the major actin of cardiac and skeletal muscle, while lambda, the most basic of the actins, comigrates with smooth muscle actin. The three components have overlapping methionine-containing tryptic peptides. All three actins are found to be present in actomyosin and cytoskeleton preparations from chick embryo fibroblasts. Identification of alpha-actin as the major actin from sarcomere-containing cells is confirmed by comparing embryonic chicken pre- and post-fusion myoblast cultures. Following myoblast fusion, the relative amount of alpha-actin increases until it changes from a minor actin component to the predominant actin species in the culture.


Mutational analysis of developmental control in Caulobacter crescentus. The relationship between the cell cycle and control of development has been studied by a genetic analysis of Caulobacter crescentus. The behavior of conditional cell division mutants showed that cell cycle events, such as DNA replication and cell division, are organized into a dependent pathway(s), i.e., later steps cannot preceed until earlier ones are completed. The ability of these strains to develop normally under nonpermissive conditions suggested that flagellin synthesis and stalk formation are dependent on the completion of different cell-cycle steps: the periodicity of flagellin synthesis is achieved by coupling it to either DNA chain elongation or completion, and stalk formation is dependent on a later step in the cell-division pathway. These developmental events are not themselves required for cell division, however.


Stable conformations of aliphatic disulfides: influence of 1,4 interactions involving sulfur atoms. The present state of knowledge of the stable conformations of the XCCSSCCX fragment (in which X is any saturated group) of aliphatic disulfides is examined. In particular, the evidence for the existence of attractive 1,4 interactions between CH groups and S atoms across C-S bonds and their influence on the potential function for rotation about C-S bonds is discussed. The effects of similar attractive interactions between NH groups and S atoms on the potential function for rotation about C-C bonds also are considered. It is concluded that weak attractive interactions between CH groups and S atoms are capable of stabilizing rotamers with unusually low (about 30 degrees) values of the SS-CC dihedral angle.


Enzymatic conversion of proteins to glycoproteins. The enzymatic transfer of the oligosaccharide moiety from an oligosaccharide-lipid to denatured forms of three secretory proteins--ovalbumin, alpha-lactalbumin, and ribonuclease A--has been demonstrated utilizing a membrane fraction from hen oviduct. Based on a survey of 10 proteins denatured by sulfitolysis, the presence of the tripeptide sequence -Asn-X-Thr-Ser- (X represents a variable amino acid) appears to be necessary but not sufficient for the protein to serve as acceptor in vitro. The results of this investigation also suggest that unfolding of the polypeptide chain is required in order to expose sites for carbohydrate attachment.


Distinctions between the two-state and sequential models for cooperative ligand binding. The two-state and sequential models for positive cooperativity in ligand binding can produce significantly different theoretical binding curves when presented in a Scatchard plot. The conditions that produce the greatest differences have been examined. The theoretical differences have been used to select the two-state model as the best model for describing the binding of acetylcholine to acetylcholine receptors that have been solubilized by Triton X-100 and sodium cholate.


Inside-out model for self-assembly of tobacco mosaic virus. Incompletely reconstituted particles of tobacco mosaic virus treated with moderate concentrations of dimethylsulfoxide prior to electron microscopy have two visible tails of unencapsidated RNA, a long one and a short one. The short tail has a constant length of 720 +/- 80 nucleotides in incomplete particles of diverse size and probably corresponds to the 3'OH end of the RNA. The length of the long 5' tail is inversely related to the length of the unfinished rod. Surprisingly, both tails appear to protrude from the same end of the particle. These observations suggest that the strand of RNA coming out of one end of the particle loops back along the length of the rod so as to appear at the opposite end. The "looped-back" tail almost certainly passes down the empty central channel of the incomplete rod. The findings are compatible with a model of tobacco mosaic virus assembly in which the RNA inserts itself beneath layers of incoming protein from within the central channel.


Relationship between the soluble glutathione-dependent delta 5-3-ketosteroid isomerase and the glutathione S-transferases of the liver. Soluble, glutathione-stimulated delta 5-3-ketosteroid isomerase (EC 5.3.3.A) activity of human and rat liver resides in very basic proteins with molecular weights of about 45,000 which are present in high concentrations in these tissues. Physiochemical and immunological evidence is presented for the identity of the proteins responsible for this enzymatic activity with the glutathione S-transferases (RX:glutathione R-transferase, EC 2.5.1.18) that conjugate glutathione with a variety of electrophilic compounds. In the rat, the steroid isomerase is associated principally with the major transferase (B), which is also known as ligandin, and has the versatility to bind various hydrophobic compounds such as bilirubin, corticosteroids, and metabolites of a number of carcinogens. Other rat liver-glutathione S-transferase species are far less active in the steroid isomerization reaction. The delta 5-3-ketosteroid isomerase activity of human liver is more uniformly distributed among the five glutathione S-transferases that have been described. Steroid isomerization differs fundamentally from other reactions promoted by glutathione S-transferases in that glutathione is not consumed in the reaction. However, because the transferase enzymes promote nucleophilic attack by glutathione on a variety of largely foreign organic substrates, a similar mechanism may be involved in the isomerase reaction. Delta 5-3-ketosteroids are among the few known naturally occurring substrates for these enzymes.


Protein-sugar interactions: preparation, purification, and properties of rabbit antibodies against di-N-acetylchitobiose. Antibodies against di-N-acetylchitobiose (CB) were raised in rabbits after injection of CB-bovine serum albumin conjugates and were fractionated by columns into two classes: the first bound to a column of Sepharose covalently coupled with N-acetylglucosamine (GlcNAc); the second bound to a column coupled with CB. Active antibodies were eluted by a moderate concentration of a chaotropic agent, but not by high ionic strength buffers or acidic buffers. The active fractions were identified as IgG by ultracentrifugation and immuno-electrophoresis. These antibodies gave precipitation bands with CB-protein conjugates and this reaction could be reversed in the presence of free CB. The GlcNAc-bound fraction quantitatively quenched the fluorescence of O-(4-methylumbelliferyl)-glucosides of GlcNAc and CB, while the CB-bound fraction quenched only the glycoside of CB; other O-(4-methylumbelliferyl)-glucosides were not quenched. Among eleven monosaccharides and oligosaccharides, only GlcNAc, CB, and tri-N-acetylchitotriose were able to inhibit the precipitation of antibodies against CB with CB-protein conjugate. These antibodies failed to agglutinate erythrocytes from various species but did agglutinate transformed cells and mouse lymphocytes. The binding of these antibodies on cell lembranes was reversed by free CB and by CB-protein conjugates. The properties of these antibodies are related to those of lectins with similar specificities and to the structure of glycoconjugates.


Activation of histone gene transcription by nonhistone chromosomal proteins in WI-38 human diploid fibroblasts. The regulation of histone gene expression was examined after confluent, nondividing WI-38 human diploid fibroblasts were stimulated to proliferate. Histone mRNA sequences were assayed by hybrid formation with an 3H-labeled single-stranded DNA complementary to histone mRNAs. Histone mRNA became associated with polyribosomes concomitant with the activation of DNA synthesis. The ability of chromatin from WI-38 cells to serve as a template for in vitro transcription of histone mRNA sequences parallels the onset of DNA replication. A role for nonhistone chromosomal proteins in the control of histone gene readout is suggested because, when chromatin from confluent WI-38 cells was dissociated and then reconstituted in the presence of S phase nonhistone chromosomal proteins, a 500-fold activation of histone mRNA sequence transcription was observed.


Purification of a putative precursor of globin messenger RNA from mouse nucleated erythroid cells. Nucleated erythroid cells were incubated for 10 min in the presence of [5-3H]uridine, and the total RNA was isolated by three different extraction procedures. RNA containing globin messenger RNA sequences was purified from other cellular RNAs by selective hybridization to globin complementary DNA cellulose. Depending upon the extraction procedure employed, 0.4-0.6% of the radioactively-labeled total cellular RNA applied to the column annealed to globin complementary DNA cellulose. The annealed RNA was treated with formaldehyde and analyzed by formaldehyde/polyacrylamide gel electrophoresis. Mature globin mRNA and an RNA migrating at approximately 15 S were observed. No globin mRNA containing sequences larger than 20 S were present. The 15S RNA was partially resolved from mature globin mRNA by neutral sucrose density gradient centrifugation. The RNA isolated from the heavy region of this gradient migrated as 15 S in the formaldehyde/polyacrylamide gels and retained its ability to quantitatively anneal to globin complementary DNA cellulose. On the basis of these observations, we conclude that nucleated erythroid cells obtained from the spleens of anemic mice have a 15S RNA which contains globin mRNA sequences. The 15S RNA is not an aggregate and is a good candidate for a globin mRNA precursor.


Mutagen-nucleic acid intercalative binding: structure of a 9-aminoacridine: 5-iodocytidylyl(3'-5')guanosine crystalline complex. 9-Aminoacridine forms a crystalline complex with the dinucleoside monophosphate, 5-iodocytidylyl(3'-5')guanosine. We have solved the three-dimensional structure of this complex by x-ray crystallography and have observed two distinct intercalative binding modes by this drug to miniature Watson-Crick double helical structures. The first of these involves a pseudosymmetric stacking interaction between 9-aminoacridine molecules and guanine-cytosine base-pairs. This configuration may be used by 9-aminoacridine when intercalating into DNA. The second configuration is an asymmetric interaction, largely governed by stacking forces between acridine and guanine rings. This type of association may play an important role in the mechanism of frameshift mutagenesis.


Ligand kinetics of hemoglobin S containing erythrocytes. Oxygen uptake of fully deoxygenated sickle (SS) erythrocytes is slower than that of normal (AA) erythrocytes, as demonstrated by the half-times of the overall oxygenation reactions: at 25 degrees in an isotonic phosphate buffer the normal red cells have a t1/2 = 82 +/- 4.7 msec, as compared to sickle red cells where t1/2 = 135 +/- 17.6 msec. The effects of temperature, extracellular osmolality, and the presence of an antisickling agent (n-butylurea) on the rate of red cell oxygenation strongly suggest that the differences in oxygenation rates encountered with sickle red cells is directly related to the intracellular polymerization of deoxyhemoglobin S.


Bacterial flagella rotating in bundles: a study in helical geometry. Bacterial flagella are semi-rigid helices that undergo true rotation. In peritrichously flagellated bacteria (e.g., Escherichia and Salmonella) there are many flagella on each cell; during translational cell movement these operate as a coordinated bundle that actively disperses upon reversal of the rotation sense. The dynamic behavior of a set of helices originating on separate rotational axes is explored by a working model, geometrical analysis, and hydrodynamic calculations. A critical relationship exists between the interaxial separation and phase difference of parallel helices with overlapping domains; in the subcritical case the filaments are not intertwisted, whereas in the supercritical case they are intertwisted in the same sense (left-handed) as the helices, with one twist per helical turn. During counter-clockwise rotation (the sense operative in forward swimming) any preexisting twists of this kind are automatically cancelled and the helices brought progressively into phase. Hydrodynamic calculations suggest that some wrapping then occurs in a right-handed sense, opposite to that of the helices; this necessitates a distortion from true helical geometry which is minimized by maintaining a coaxial in-phase relationship. A highly coordinated helical bundle results that is capable of operating smoothly for an indefinite period, in agreement with the observed behavior of swimming bacteria. During reverse rotation, the supercritical case develops to cause jamming of the bundle, as has been observed with bacteria in high-viscosity medium. The explosive dispersal of the bundle during reversal in low-viscosity medium is a consequence of a complicating phenomenon, namely, a drastic change in flagellar quaternary structure. The overall conclusion is that bundle formation and function are perfectly compatible with a rotational mechanism for the individual flagella.


Role of cell surface carbohydrates and proteins in cell behavior: studies on the biochemical reversion of an N-acetylglucosamine-deficient fibroblast mutant. AD6, a mutant derived from 3T3 Balb/c cells, is characterized by low adhesion to substratum, round shape, increase in surface microvilli, increase in agglutinability by concanavalin A, and loss of directional motility. These properties are often observed in transformed cells. However, the mutant has normal growth properties and anchorage-dependence of growth, and it does not form tumors. In AD6, the biosynthesis of complex carbohydrates and glycoproteins is impaired because of a block in the acetylation of GlcN-6-P. This defect is responsible for all the surface alterations because feeding of GlcNAc to AD6 cells corrects the defects in the synthesis of complex carbohydrates and the exposure of glycoproteins at the outer surface of the plasma membrane. Parallel to this biochemical reversion, there is full restoration of the altered biological properties. In contrast, GlcNAc has no effect on the morphologic features of two lines of transformed cells. Our results suggest that the carbohydrate portion of cell surface proteins has an important role in adhesion and related aspects of cell behavior. The fact that a defined alteration of the cell surface induces many properties often encountered in transformed cells, without affecting control of cell division, strongly suggests that these alterations in properties are not sufficient to account for the loss of growth regulation.


Chromosome mapping of the genes that control differentiation and malignancy in myeloid leukemic cells. The chromosome banding pattern has been analyzed in clones of mouse myeloid leukemic cells that differ in their ability to be induced to differentiate by the protein inducer MGI (macrophage and granulocyte inducer). None of the clones had a completely normal diploid banding pattern. The clones studied were either MGI+ (that can be induced to form Fc and C3 rosettes), a stage in the differentiation of myeloid cells, or MGI- (that cannot be induced to form these rosettes). All six cultured clones of MGI- cells from myeloid leukemias independently produced in six separate animals showed a loss of a piece of one chromosome 2 and this abnormal chromosome was maintained in leukemias derived from the cultured cells. This loss was not found in MGI+ clones or lymphoid leukemias. Five MGI+ mutants, derived from an MGI- clone with a loss of a piece of one chromosome 2, one normal chromosome 12, and two translocated chromosomes 12, maintained the abnormal chromosome 2 but lost either the one normal or one of these translocated chromosome 12. These results indicate that chromosomes 2 and 12 carry genes that control the differentiation of myeloid leukemic cells and that inducibility by MGI is controlled by the balance between these genes. We suggest that these chromosomes also carry genes that control the malignancy of these cells.


Phosphorylation of membrane proteins at a cholinergic synapse. Endogenous membrane protein kinase activity and protein kinase substrates have been found in membrane fractions enriched in the acetylcholine receptor that were prepared from the electric organ of Torpedo californica. Phosphorylation of four polypeptides is stimulated 9-fold by K+. The specific cholinergic ligand, carbachol, inhibited phosphorylation of these four polypeptides by 72% in the presence of 1mM Na+ and 100 mM K+. The 65,000-dalton component of the acetylcholine receptor in the membrane fraction appears to be phosphorylated by the endogenous protein kinase. These results suggest that protein phosphorylation may play an important role in synaptic events at nicotinic cholinergic synapses.


Cell differentiation in Dictyostelium under submerged conditions. Hitherto it has not been possible to obtain spore and stalk cell differentiation of the cellular slime molds in submerged cultures. It is shown here that cells, when placed in roller tubes under an atmosphere of oxygen, will form clumps and differentiate in 48-72 hr into mature spores and stalk cells. Although differentiation occurs without the normal morphogenetic movements, there is the appearance of an anteroposterior polarity of the cells in the clump. In addition to oxygen we examined a number of other factors that affect differentiation.


Rejection by syngeneic mice of cell variants obtained by mutagenesis of a malignant teratocarcinoma cell line. Cells from the malignant teratocarcinoma line PCC4.azal were treated with the mutagen N-methyl-N'-nitro-N-nitrosoguanidine. Fifty-five clones were isolated from the surviving cells. Twelve clones are unable to form tumors in the syngeneic 129/Sv mice. However, these "tum-" clones form tumors as readily as the original cells when they are injected into irradiated mice. Moreover, they stimulate the production of immune memory cells, which protect the injected animals and confer resistance by adoptive transfer. The tum- clones are therefore unable to generate tumors in syngeneic mice because they elicit an immune rejection response.


Cleavage map of linear mouse sarcoma virus DNA. Proviral DNA transcribed from the RNA of Moloney murine sarcoma virus was isolated from newly infected cells. Three forms of viral DNA were observed: (i) a linear double-stranded form of 3.4 X 10(6) daltons which constituted the major viral DNA species in the cell, and is thought to be a complete transcript (monomer) of viral RNA; (ii) a fast-sedimenting viral DNA bigger than the monomeric unit which can be either integrated provirls or concatamers; and (iii) covalently closed circles of monomer size representing 5% or less of the total viral DNA in the cell. The linear viral DNA was tested for its susceptibility to restriction endonucleases by electrophoretic analysis of the digestion products and their identification by hybridization with viral RNA or cDNA probes. The linear DNA is not cleaved by endonucleases EcoRI and BamHI. It is cleaved into two fragments by endonucleases HindIII and Hae II, and into three fragments by restriction endonuclease HincII. The fragments of the viral DNA added up to approximately 3.4 X 10(6) daltons; this and the uniform size of the linear DNA indicated that the viral DNA has unique ends and a complexity of 3.4 X 10(6) daltons. The different cleavage fragments were ordered with respect to each other and the 3' end of the viral RNA. It was observed that fragments from both ends of the linear DNA can be hybridized to sequence(s) at the 3' end of murine sarcoma virus RNA; this result suggested the possibility that a short redundant sequence exists at both termini of the genome.


Initiation of genetic exchanges in lambda phage--prophage crosses. When Escherichia coli K-12 (lambda) lysogens were infected with lambda phages, genetic exchanges between phage and prophage occurred at low frequencies (less than 0.1% between the markers P3 and P80), but at frequencies above 1% if the infecting phages were first treated with the photosensitizing agent 4,5',8-trimethylpsoralen and 360 nm light. Exchanges were induced by psoralen damage at about the same frequency in wild-type lysogens and in those carrying recB(-), recC(-), recF(-), or lexA(-), but at an intermediate frequency in a quadruple mutant carrying recB(-)recC(-)recF(-)sbcB(-). Few if any exchanges were induced in lysogens carrying uvrA(-), uvrB(-), or recA(-). The increase in the frequency of recombination was presumably due to the psoralen damage in the phage DNA molecules and the action of host cell repair and recombination enzymes. The production of crosslinks in the phage DNA by psoralen and 360 nm light was measured by sedimentation in alkali. It showed second-order kinetics indicative of a two-photon reaction. In contrast, first-order kinetics had been reported for monoadduct formation. Second-order kinetics, similar to those for crosslink production, were found for genetic exchanges in homoimmune crosses. Presumably, crosslinks, rather than monoadducts, cause most of the exchanges. Because the uvrA(-) gene product (UV-endonuclease) was required, it is likely that recombination was initiated by DNA molecules cut at crosslinks. This system has been used to show that after the crosslinked phage duplex has been cut, one or more of the subsequent steps-homologous pairing, cutting, and joining-require the recA(+) gene product.


Genetic control of mitochondrial malate dehydrogenases: evidence for duplicated chromosome segments. The genetic control of the major mitochondrial isoenzymes of malate dehydrogenase (L-malate:NAD+ oxidoreductase; EC 1.1.1.37) has been investigated in Zea mays. The mitochondrial isozymes are coded at four nuclear gene loci. Two of the loci (mdh1 and mdh2) are diallelic and tightly linked. The other two loci (mdh3 and mdh4) appear to have arisen by duplication of the chromosome segment carrying mdh1 and mdh2, but are not linked to them. The segregation of such a duplicate segment can explain anomalous backcross and F2 segregation ratios.


Microcell-mediated transfer of murine chromosomes into mouse, Chinese hamster, and human somatic cells. In this report, we describe the production and characterization of proliferating hybrid cell populations generated by fusion of murine microcells with intact mouse, Chinese hamster, and human recipient cells. The microcell hybrids so produced contained one to five intact murine chromosomes derived from the microcell donor. these transferred chromosomes were maintained as functioning genetic elements in the hybrid cells. Our results firmly establish subnuclear particle-mediated chromosome transfer as a valid somatic cell genetic tool.


Glucose homeostasis during prolonged suppression of glucagon and insulin secretion by somatostatin. Somatostatin was infused for 5-8 hr into five normal men and eleven normal, conscious dogs. This infusion resulted in a persistent decline in plasma glucagon (40-60%) and insulin (30-45%). Plasma gluccose fell 15-25% during the initial 1-2 hr, but subsequently rose to hyperglycemic levels (130-155 mg/100ml) by 3-6 hr, despite persistent hypoglucagonemia. Glucose production initially declined by 40-50%, but later rose to levels 15-20% above basal rates while peripheral glucose utilization fell to levels 20-30% below basal, thereby accounting for hyperglycemia. Infusion of exogenous insulin so as to restore plasma insulin to preinfusion values or cessation of the somatostatin infusion with restoration of endogenous insulin secretion resulted in a prompt reduction of plasma glucose to baseline values. Prevention of the initial somatostatin-induced hypoglycemic response by intravenous infusion of glucose failed to prevent the delayed hyperglycemia. We conclude that somatostatin caused only transient hypoglycemia in normal subjects and that hyperglycemia eventually developes as a consequence of insulin deficiency. These data indicate that basal glucagon secretion is not essential for the development of fasting hyperglycemia and support the conclusion that insulin deficiency rather than glucagon excess is the primary factor responsible for abnormal glucose homeostasis in the diabetic.


Beta-endorphin: stimulation of growth hormone release in vivo. Two micrograms of beta-endorphin (beta-lipotropin61-91) injected intraventricularly in rats that had been treated with antiserum against somatostatin led to a 6- and 10-fold stimulation of the concentration of plasma growth hormone (somatotropin) measured 10 and 20 min after injection of the peptide, whereas 400 mug of methionine-enkephalin led to a 4- to 6-fold increase of levels of plasma growth hormone at 10 min with a rapid return to basal levels at later time intervals. At doses of 5 and 25 mug, beta-endorphin led to a 20- to 30-fold stimulation of levels of plasma growth hormone, the maximal effect being measured between 20 and 30 min after injection. These data suggest the possible role of the endogenous opiate-like peptides in the control of growth hormone secretion.


Reduction of blood pressure and vascular collagen in hypertensive rats by beta-aminopropionitrile. beta-Aminopropionitrile, a specific inhibitor of lysyl oxidase prevented the rise in blood pressure induced by deoxycorticosterone-salt in rats. In addition, after the onset of hypertension, administration of beta-aminopropionitrile lowered the blood pressure. Concomitant with the lowering of blood pressure, there was a reduction in the more highly crosslinked form of vascular collagen. These findings would indicate that increases in vascular connective tissue are not only sequelae of hypertension, but may also contribute to the maintenance of elevated blood pressure.


Inhibition of erythrocyte sickling in vitro by DL-glyceraldehyde. Concentrations of DL-glyceraldehyde between 5 and 20 mM reduce the sickling of S/S erythrocytes even in the complete absence of oxygen; at 10 mM glyceraldehyde the increase in the number of normal cells ranges from 20 to 40%. The inhibition of sickling was both concentration- and time-dependent and was not reversed by repeated washings with buffer. Incubation of erythrocytes with increasing concentrations of glyceraldehyde resulted in only a small increase in the oxygen affinity, a moderate reduction in the Hill coefficient, a substantial increase in the minimum gelling concentration, and modification of up to two lysine residues per hemoglobin molecule.


Development of the nervous system of Aplysia californica. The ability to grow the marine molluse Aplysia under laboratory conditions allows a detailed study of the formation of the nervous system and of the development of specific identified cells. I have found that the ganglia develop in a specific temporal order. Cerebral and pedal ganglia develop at hatching, the abdominal, pleural, and osphradial ganglia 3 weeks after hatching, and the buccal ganglia at 4 weeks. The origin of the abdominal ganglion is complex; its anlage forms at 3 weeks from three larval ganglia that fuse to form the abdominal ganglion. Individual cells cannot be distinguished from one another by their location within the ganglion or by their appearance alone until metamorphosis at 5 weeks. After metamorphosis, the identified neuron, R2, suddenly becomes recognizable because of a significant increase in its size.


Measures of fitness and demographic stability. The concepts of entropy and reproductive potential of a genotype were introduced in a previous paper [Demetrius, L. (1974) Proc. Natl. Acad. Sci. USA 71, 4645-4647] and an analoge of the fundamental theorem of natural selection was derived. This paper relates to entropy of a population with the rate of convergence of the population to the stable age distribution. I show that (i) at maximal entropy, no oscillatory components exist and the birth sequence is unaffected by perturbations in the stable age distribution; and (ii) at zero entropy, oscillatory components occur and increase as rapidly as the real exponential component in the birth sequence. These results have implications towards (i) the relation between population fitness and adaptedness, (ii) modes of selection and the evolution of reproductive strategies, and (iii) the evolution of senescence.


Synthesis of two collagen types by embryonic chick corneal epithelium in vitro. To better understand the mechanisms involved in matrix development, we have analyzed the collagen synthesized by embryonic corneal epithelium, the tissue known to produce the collagenous component of the primary corneal stroma. Isolated epithelia were cultured in vitro in medium containing [oH]proline and the newly synthesized, labeled collagen was extracted, fractionally salt precipitated, and analyzed by carboxymethyl-cellulose chromatography and peptide mapping after cleavage with cyanogen bromide. The data show that the cornela epithelium produces at least two different types of collagen, one similar, if not identical, to the type I molecule of skin, and a second similar, if not identical, to the type II molecule of cartilage. Type II, heretofore, had been thought to be characteristic of cartilage extracellular matrix.


Selective and accurate transcription of the Xenopus laevis 5S RNA genes in isolated chromatin by purified RNA polymerase III. Chromatin isolated from immature oocytes was found to contain an endogenous RNA polymerase activity (RNA nucleotidyltransferase; nucleoside triphosphate:RNA nucleotidyltransferase, EC 2.7.7.6) that synthesizes predominately 5S RNA. However, the levels of total RNA synthesis and 5S RNA synthesis in chromatin were each stimulated 10- to 50-fold by an exogenous RNA polymerase III purified from X. laevis oocytes. The 5S genes in chromatin were transcribed by the exogenous enzyme in a highly selective (3000-fold above random) and predominately asymmetric fashion. A significant fraction of 5S RNA sequences were also found in a discrete transcript, approximately 5S in size. Total RNA synthesis was significantly stimulated when chromatin was transcribed by oocyte RNA polymerase I, murine RNA polymerase II, and low levels of Escherichia coli RNA polymerase. However, these enzymes did not significantly stimulate 5S RNA synthesis above the endogenous levels. Both homologous oocyte RNA polymerase I and III and E. coli RNA polymerase transcribed the 5S genes in deproteinized DNA to approximately the same extent (severalfold above random) and both the sense and anti-sense strands of the gene were transcribed. It appears, therefore, that both chromatin-associated components and a purified RNA polymerase III are necessary and sufficient for the selective and accurate transcription of the 5S RNA genes in vitro.


A soluble ATP-dependent proteolytic system responsible for the degradation of abnormal proteins in reticulocytes. Reticulocytes, like other cells, selectively degrade certain abnormal proteins by an energy-dependent process. When isolated rabbit reticulocytes incorporate the valine analog 2-amino-3chlorobutyric acid (ClAbu) in place of valine, they produce an abnormal globin that is degraded with a half-life of 15 min. Normal hemoglobin, in contrast, undergoes little or no breakdown within these cells. Cell-free extracts from reticulocytes have been shown to rapidly hydrolyze these abnormal proteins. The degradative system is located in the 100,000 X g supernatant, has a pH optimum of 7.8, and does not appear to be of lysosomal origin. This breakdown of analog-containing protein was stimulated severalfold by ATP, and slightly by ADP. AMP and adenosine-3':5'-cyclic monophosphate had no significant effect on proteolysis. Experiments with ATP analogs suggest that the terminal high energy phosphate is important in the degradative process. Proteolysis in the cell-free system and in intact reticulocytes was inhibited by the same agents (L-l-tosylamido-2-phenyl-ethylchloromethyl ketone, N-alpha-p-tosyl-L-lysine chloromethyl ketone, N-ethylmaleimide, iodoacetamide, and o-phenanthroline). In addition, the relative rates of degradation of several polypeptides in the cell-free extracts paralleled degradatives rates within cells. Thus, a soluble nonlysosomal proteolytic system appears responsible for the energy-dependent degradation of abnormal proteins in reticulocytes.


Isolation of transcriptionally active chromatin from mammalian nucleoli. Nucleoli isolated from HeLa cells are functionally active but contain large amounts of RNA and proteins (RNA/DNA ratio 1:1; protein/DNA ratio 7:1). We have isolated from the nucleolus a DNA-protein complex that has the characteristics of nucleolar chromatin (RNA/DNA ratio less than 0.05:1; protein/DNA ratio 1.7:1). This nucleolar chromatin has most of the transcriptional activity of the intact nucleolus and, as assayed by circular dichroism and dye binding, has largely preserved its structure. The isolation of a transcriptionally active, fragment of chromatin, which constitutes only a small part of the total genome and codes for only one recognizable product, offers several advantages for the study of chromatin structure and function.


Ordering of cyanogen bromide peptides of type III collagen based on their homology to type I collagen: preservation of sites for crosslink formation during evolution. The order of the cyanogen-bromide-derived peptides from alpha 1 (III) chains of pepsin-solubilized calf skin collagen was found to be 3A-3B-3C-7-6-1,8,2-4-5-9A-9B. The amino-acid sequences of the NH2-terminal region of all peptides were determined by Edman's automated degradation procedure. The alignment of the peptides along the peptide chain was established by searching for the best homology between the partial sequences of the cyanogen bromide peptides from the alpha 1 (III) chain and the completely known sequence of the alpha 1 (I) chain. Characterization of three cyanogen-bromide-derived double peptides provided confirmation of the deduced order. A sequence Gly-Met-Hyl-Gly-His-Arg-Gly-Phe- was established near the NH2-terminus and a sequence Gly-Ile-Hyl-Gly-His-Arg-Gly-Phe near the COOH-terminus of the alpha 1(III) chain. Identical sequences have been found in the corresponding regions of the alph 1(I) chain. They include hydroxylysine, a site for intermolecular crosslink formation. Because these sequences are conserved during evolution of the collagen molecule, they are probably important for collagen structure and function.


Activation of cardiac adenylate cyclase: horminal modification of the magnesium ion requirement. Histamine and epinephrine stimulate the activity of guinea pig heart adenylate cyclase [ATP pyrophosphate-lyase (cyclizing) EC 4.6.1.1], in part, by decreasing the requirement for Mg2+ as an activator. This effect may represent an increase in affinity for Mg2+ and/or a decrease in sensitivity of the enzyme towards inhibition by free ATP. Both of these inotropic hormones also increase maximum velocity. Pretreatment of the membrane-bound enzyme with EDTA, to remove available divalent cations, almost eliminates persistent stimulation by guanyl-5'-yl imidodiphosphate [Gpp(NH)p]. Addition of Mg2+ to the preincubation medium restores the capacity of Gpp(NH)p to acutely activate the enzyme. These results indicate that Mg2+ interacts with the nucleotide (GTP) regulatory site. Persistent stimulation of the enzyme by either Gpp(NH)p or fluoride ion also involves a decrease in the requirement for Mg2+ and an increase in maximum velocity.


Treatment of snakebite.

Treatment of snakebite.


Lifesytle and health.

Lifesytle and health.


Perspectives on hospital utilization.

Perspectives on hospital utilization.


Problem solving in diagnostics and therapeutics of neurology. A series of 24 lectures. Lecture 15. The treatment of seizure disorders.


Seventy-five year old female with chest pain and dyspnea.


Spinal curvature in children screening and treatment.


An animal model for human osteosarcoma.

An animal model for human osteosarcoma. Osteosarcomas formed in antilymphocyte serum (ALS)-treated hamsters when 2x10(6) TE-85 human osteosarcoma cells (maintained in tissue culture) infected with M-MSV (RD-114) virus were injected adjacent to the femur or the scapula; undifferentiated sarcomas formed when 1 x 10(6) cells were injected subcutaneously. Tumors were palpable 10 to 14 days after the cells were injected and grew progressively until the animals died (mean survival time was 30 days). All animals had pulmonary metastases. Neither the subcutaneous sarcomas nor the metastases contained bone or osteoid; however, the osteosarcomas adjacent ot the femur and scapula contained collagen, osteoid and calcified bone when observed by light and electron microscopy. These results indicate that the TE-85-M-MSV cell-ALS hamster system is an animal model for the study of osteosarcomas of human cell origin.


How to form a dental credit union.

How to form a dental credit union.


Stopping the skippers.

Stopping the skippers.


Minimal cancer of the breast: diagnosis by mammography.


A fatal case of idiopathic omental infarction.


Cholestyramine therapy in postgastrectomy alkaline bile gastritis.


Management of abnormal female genital tract cytology by colposcopy.


Induction of ovulation.

Induction of ovulation.


Medical Grand Rounds from the West Virginia University Medical Center: controversy in Internal Medicine: strict versus relaxed therapy of diabetes mellitus.


Atypical epithelium of the protuberant lesions in the stomach.


The identification of Paragonimus westermanii in bronchial washings. Case report. Ova of Paragonimus westermanii were identified on Papanicolaou stained slides prepared from bronchial washings of a 40 year-old Korean-American male. In addition to evaluation for neoplasia, a careful search of all cytological material for non-neoplastic conditions is mandatory in our routine practice, especially in this age of population mobility.


The importance of complementary cytology and colposcopy in a detection program. Since 1956, we have used cytology and colposcopy routinely as complementary methods and the percentage of positive results has brought us much closer to the ideal 100 per cent. In order to achieve this, it is essential to put to good use the experience acquired by cytologists and colposcopists and to constantly update and improve the technique employed. The population must be made aware of the benefits of the simultaneous use of these detection methods through health education. The possibilities of diagnostic prediction of cytology are already well known. By means of colposcopy, we may classify the findings as follows: 1) normal, 2) with benign pathology, 3) suspicious, requiring additional frequent control, 4) highly suspicious of neoplasm, 5) malignant. Using the combined methodology, we were able to detect the flaws in use of both methods separately. Considering the carcinoma in situ and microcarcinoma, the results amounted to 16.6 per cent of cytologic false negatives and 12.9 per cent of colposcopic false negatives, whereas applying both methods simultaneously, we obtained only 2.7 per cent of false negatives. As we mentioned previously, this percentage of error may be attributable to technical faults, associated pathology and/or anatomic-histologic localization. We emphasize our reference to the simplicity of our method, making it possible to dispense with exaggerated human and material requirements and, at the same time, obtain highly successful results.


Leiomyosarcoma of the lung. Primary cytodiagnosis in two consecutive cases. Two cases of primary leiomyosarcoma of the lung are described, in which primary cytodiagnosis of the tumor type was established prior to surgery. The cytologic features of the cell samples obtained and correlated histopathologic findings are described. The cytologic features of pulmonary leiomyosarcomas are sufficiently characteristic to allow definitive diagnosis, if representative cell samples are obtained.


Psammoma bodies in cervical cytology smears.


Cytologic diagnosis of herpetic esophagitis. A case report. A diagnosis of herpetic esophagitis was made in a patient with alcoholic liver disease by means of endoscopy and brush cytology. Herpetic esophagitis is a common cause of esophageal ulceration in severely debilitated or immunosuppressed patients especially when the esophagus is traumatized by nasogastric intubation. Dysphagia or odynophagia may occur in some but not all patients. Radiographic picture may resemble Candida esophagitis. Endoscopy, biopsy, cytology, culture and serological studies will help in making a diagnosis. Specific antiviral agents may be used for treatment but spontaneous resolution without any sequelae was documented in our patient.


Balantidium peritonitis diagnosed on cytologic material. Balantidium coli were detached in a routine cytologic smear of ascitic fluid. The morphologic features were clearly discernible in the Papanicolaou stained smears.


Intraduodenal sarcoma. A case report.

Intraduodenal sarcoma. A case report. A case of a duodenal and a pancreatic pleomorphic sarcoma which was diagnosed as a malignant undifferentiated neoplasm cytologically is described. Primary malignant sarcomas at this site are highly unusual. The importance of endoscopic brush cytology is emphasized.


Cytologic diagnosis of Molluscum contagiosum of the mons pubis. Report of two cases. 1) Two cases of molluscum contagiosum diagnosed by cytologic examination were reported. 2) Cytologic findings of molluscum contagiosum are described. 3) The usefulness of cytologic examination in detection of unsuspected and/or suspected molluscum contagiosum is emphasized. 4) One molluscum contagiosum case showing coexistence of fungal organisms which seemed to be pityrosporum ovale is reported.


Cytologic effects of adriamycin on human peripheral lymphocytes. Preliminary data show adriamycin (AM) induces chromosomal structural changes and division delay in human peripheral lymphocytes. Cells treated for one hour with 0.01, 0.03, 0.05 and 0.10 mug/ml AM show chromatid lesions mainly breaks and deletions. Chromosome type lesions and chromatid exchanges were less frequent even in cells with the highest percentage of aberrations. Dicentric chromosomes were very rare and were scored only in cells treated with higher concentrations (0.10 mug/ml) and recovered 24 hour post-treatment. Based solely on cytologic evidence G1 and S phase cells appear to be more sensitive to adriamycin than G2 phase cells.


X chromatin and aging.

X chromatin and aging. X chromatin analysis of 30 aged and 30 control women failed to confirm X chromosome loss as responsible for the increase in incidence of hypodiploid cells observed with increasing age in women. No evidence was found to support a previously suggested relationship between X chromosome loss and the loss of mental function (senility) as measured by psychological tests.


The results of some cytochemical reactions in metastatic malignant tumor cells in pleural and peritoneal effusions. The cytomorphologic and cytochemical investigation of 59 samples of pleural and peritoneal effusions with malignant tumor cells was performed and the results were compared. The diagnosis was confirmed histologically in most cases. The cytomorphologic method gave very good results not only in the determination of malignant tumor cells but also in the differentiation of various kinds of tumors. A diagnosis was made of differentiated carcinoma (adenocarcinoma and squamous carcinoma) in 40 cases, undifferentiated carcinoma in five, sarcoma or hemoblastosis in nine and undifferentiated malignant tumor in five cases. The results of cytochemical reactions investigated demonstrated a significant difference between the cells of carcinoma and sarcoma, and in various kinds of carcinoma the most important difference was found between the positive reaction of the alkaline phosphatase and negative reaction of the acid phosphatase in the cells of ovarina and uterine carcinoma. Although we consider the morphologic examination of effusions the most important for the diagnosis of malignancy, the cytochemical methods can sometimes be helpful in a more precise differentiation.


Signet-ring cell stromal tumor of ovary cytologic appearances of fine needle aspiration biopsy. The cytologic appearances of fine needle aspiration biopsy from a benign signet-ring cell tumor of ovarian stroma are presented. The aspirate is characterized by the presence of many cells with large vacuoles in their cytoplasm giving them the signet-ring appearance. The lack of malignant criteria in the nuclei and the failure to demonstrate mucin or lipid by special stains helps to differentiate these cells from other sources of signet-ring cells such as mucinous cystadenomas and cystadenocarcinomas and Krukenberg tumors.


Decay of methyl green-pyroninophilia in Burkitt's lymphoma. The spontaneous decay of methyl green-pyroninophilia in Burkitt's lymphoma was studied at four temperatures (0 degrees C to 56 degrees C) in four biopsies using Kurnick's method. The decay is temperature and time related and is presumably due to intrinsic enzymatic action, probably ribonuclease. Imprints from tumor tissue preserved at 0 degrees C lose pyroninophilia by six hours; from tumor preserved at room temperature pyroninophilia, in most instances, would have been lost by three hours, from tumor tissue maintained at 37 degrees C, by two hours in most instances and by 15 minutes at 56 degrees C in most instances. The absence of pyroninophilia after these intervals at the appropriate temperatures should not detract from the diagnosis of Burkitt's Lymphoma.


Colon cytology simplified using enteric coated encapsulated polyurethane foam as a cellular collecting agent. A preliminary report. The advantage of the method lies in the relative ease of obtaining cellular material. The patient requires some instruction but need not be medically supervised. The major disadvantage is in fecal contamination and frequently cell preservation that may not be comparable to that of other cytologic approaches. The success of the test depends upon harvesting mucus. It is essential that the laxative action be as mild as possible and that after the initial clearing of the colon an adequate rest period is allowed to permit adequate mucus regeneration.


Vaginal cytology in the postmenopause. A study into some correlates. A considerable number of women continue to have proliferative vaginal smears indicating a certain level of endogenous estrogen production. Some correlates of this were studied. No significant correlation was found with age since menopause or with overweight. No correlation was found between the proliferation of the vaginal smear and climacteric complaints, circulatory or nervous. The implications of a proliferative smear for the postmenopausal woman and of the postmenopausal estrone production are briefly discussed. They appear at least to be ambiguous, because, although they protect against some facets of the estrogen deficiency syndrome, the factors which are correlated to a high level of endogenous estrone production are known as risk factors, predisposing for a higher incidence of uterine bleedings and perhaps malignant degeneration of some target cell tissues.


Cerebrospinal fluid cytology in patients with brain tumors; a simple method using the cell culture technique. A simplified cytologic method using the cell culture technique was employed in 71 cases with brain tumor. Neoplasitc cells were demonstrated in 17 cases (24%), that is in 11 out of 30 cases of glioma, four out of ten cases of metastatic brain tumor, and two out of 17 cases of meningioma. None of 14 other miscellaneous tumors proved positive. Identification of glioma cells could be easily made because they usually showed characteristic morphology and good proliferation in vitro. However, for other types of tumor, conventional methods were considered to be superior to the culture method because their exfoliated cells usually underwent rapid degeneration without showing characteristic morphology during the culture. Some of the illustrative cases were presented.


Vaginal cytology and the human menopausal gonadotropin-test (HMG-cytohoromonal-test) in cases of gonadal dysgenesis. Cytohormonal investigations and HMG-cytohormonal-test were carried out in 15 patients suffering from gonadal dysgenesis and the results were compared with the histology of the gonad, the karyotype and the clinical appearance. All patients were primary amenorrhoeic. According to the gonad histology and the phenotype the term "gonadal dysgenesis" was subdivided into Turner's syndrome, pure gonadal-dysgenesis and syndrome of ovarian hypoplasia. For the HMG-cytohormonal-test Humegon was administrated three times in weekly intervals (one amp. 75. i.u. in the first, two amp. in the second and three amp. in the third week). The gonadal response to Humegon was detected by vaginal cytology taken on the first, second, fourth and sixth days, after each injection of Humegon. Smears in patients with streak gonads irrespective of their phenotype were completely atrophic and did not change following Humegon administration. This finding seems to be characteristic and the HMG-cytohormonal-test is a simple way to diagnose the presence of the streak gonad. Cytohormonal patterns in the syndrome of ovarian hypoplasia accompanied by primary amenorrhoea consisted of mostly intermediate cells although superficial cells in five to 20 per cent and parabasal cells in five per cent also occurred. Following Humegon administration there were no or slight changes in the smears, much less marked than those in secondary ovarian failure.


Cytology of gynecologic condyloma acuminatum. The morphology of certain cell types often encountered in vaginal and cervical smears of condyloma patients are described. These cells, considered to be exfoliated from epithelium affected by condyloma virus, were found in 60 per cent of the smears obtained from 192 women with condylomatat acuminata. Dysplasia of the cervical and vaginal epithelium is frequently associated with condyloma. Structural features typical of the condylomatous epithelium were common in these dysplasias. These lesions are probably also due to infection by condyloma virus, yet their significance is unknown and the possibility of a precancerous status cannot be ruled out except by a very long term follow-up study which is in progress. It may be assumed that this virus may affect the cervical and vaginal epithelium without any typical papillary condylomatous lesions resulting. Even in the absence of typical condylomatous papillary formations, the cytologic findings may reveal condyloma infection.


Cytology of primary neoplasms of the central nervous system. The case histories of 273 patients with primary neoplasms of the central nervous system seen in The New York Hospital and Memorial Hospital during the years 1968 through 1973 were reviewed. Neoplastic cells were identified in cytologic preparations obtained from 76 patients. These include patients with meningioma, astrocytoma, glioblastoma multiforme, oligodendroglioma, ependymoma, medulloblastoma, neuroblastoma, retinoblastoma, pineoblastoma, and pituitary adenoma. It is concluded that there are certain suggestive cellular features of these neoplasms in cytologic preparations, but additional studies are needed to establish the cytomorphologic characteristics which may aid in the differential diagnosis of primary intracranial neoplasms from extracranial neoplasms which are metastatic to the central nervous system.


Hormonal cytology: a correlation with plasma estradiol, measured by radioimmunoassay.


SEM on bladder cells.

SEM on bladder cells.


Rapid correction of anemia with partial exchange transfusion. Six pediatric patients have recently undergone eight partial exchange transfusions for anemias complicated by other clinical conditions. The procedure was well tolerated, and those patients who were in congestive heart failure exhibited good clinical improvement. This technique is particularly useful in situations where the patient is unable to tolerate the increased blood volume produced by other methods of RBC-transfusion therapy. We present a formula for estimation of partial exchange transfusion volume and suggest indications for partial exchange transfusion.


Neutropenia, fever, and infection in children with acute lymphocytic leukemia. In an attempt to determine the relationship between neutropenia (absolute granulocyte count less than 1,000/cu mm), infection, and disease status, 20 patients with acute lymphoblastic leukemia were observed for a total of 34 patient-years. Febrile episodes occurred with much greater frequency in patients during the course of treatment induction (0.9/mo), or while in relapse (2.46/mo) than while in remission (0.19/mo). A cause for fever was identified much more frequently in patients in remission, both when neutropenic and nonneutropenic. When absolute granulocyte counts fell below 200/cu mm, a cause for fever was generally identified regardless of disease status. We propose that the majority of febrile episodes in patients at the time of induction of treatment or in relapse with neutrophil counts of more than 200/cu mm are caused by the disease process rather than secondary to a diagnosable infection.


The cytologic diagnosis of gastric carcinoma related to the histologic type. In gastric smears obtained by direct vision fiberoptic brush technique from 78 patients with carcinoma of the stomach, an attempt was made to recognize cytologically the histologic type of the tumor with reference to Lauren's classification. The cytologic diagnosis of intestinal type carcinoma was made in 36/45 positive cases on the basis of an abundant cellularity and the presence of rather large pleomorphic cohesive cells often arranged in sheets with a moderately increased N/C ratio. One case of intramucous and two of "early" invasive carcinoma revealed malignant cells which did not differ from those of the advanced cases. In these cases as well as in some of the advanced ones, atypical epithelial cells were found in addition to the malignant ones; these cells could have derived from the histologic areas of atypical hyperplasia of the gastric mucosa surrounding the carcinoma. 14/15 cases of advanced diffuse carcinoma of the stomach could be cytologically identified on the basis of a scanty cellularity and the presence of rather small, monomorphic poorly differentiated cells with a high N/C ratio. The cytologic diagnosis of the mixed-type carcinoma was made in 2/5 positive cases on the basis of the presence of an admixture of both cell types described above. In two cases of the mixed-type carcinoma, only intestinal type cells were found. In the smears of nine cases of intestinal type carcinoma, one of which was intramucous, and of one case of mixed-type carcinoma, the tumor cells could not be specified. 13/78 cases (16.7%) showed negative cytology. The overall accuracy rate was 83.3 per cent. The statistical analysis of a number of cytologic parameters indicated that morphologic differences between Type I and Type D carcinomas of the stomach do exist and that they can be evaluated for differential diagnostic purposes.


Hematology problem.

Hematology problem.


Trends in mortality from uterine cancer in relation to mass screening. Mortality rates from cancer of the cervix uteri, as well as for all uterine cancer, have shown a remarkable decrease in recent years in Louisville, Kentucky. For women ages 30-39 the decrease was 70.8 per cent, and for ages 50-59, 69 per cent. No change in rates was noted for women ages 70 years and over. These changes correlate well with the success of recruitment for screening of women according to age. The high degree of success in screening the low socioeconomic quartile is thought to be of prime importance. The average annual age adjusted mortality for uterine cancer other than cervix also fell impressively. In contrast to Louisville, mortality from cervical cancer in England and Wales, with the exception of the younger age group, has remained fairly constant over the past decade. Denmark showed no mortality decline between 1961 and 1971. Like England and Wales and unlike Louisville, screening there had not achieved high population coverage and the screening as does exist was not commenced as early.


Reliability of the cyto-radio-clinical triplet in breast pathology diagnosis. 1. Two hundred and twenty-two cases of cytologic breast specimens were correlated with clinical and radiological findings. 2. False negative and no-cell incidence were respectively 2.7 and 2.2 per cent. 3. By means of a thorough clinical and radiological approach the cytologic failures (misdiagnosed and acellular smears) could be corrected: no cancer escaped diagnosis. 4. Cytology diagnosed three clinical and radiological undetected breast cancers, an incidence of 1.3 per cent. 5. Any suspicion of malignancy, either on cytologic clinical or mammography examinations, must be further investigated by means of biopsy. 6. In our experience, evidence of necrosis, even without other cytologic evidence of malignancy, has proved coincidental with mammary cancer.


Respiratory care in Guillain-Barré syndrome.


Scanning electron microscopy of cotton swab smears from ectocervix. A methodological study. A method for scanning electron microscopic examination of exfoliated ectocervical cells smeared with a cotton swab is described. It is concluded that this technique has advantages over techniques in which cell samples are collected from the portio by washing, scraping, or adherence to membranes.


The borderline patient and conservative treatment in the late mixed dentition. 1. The possibilities for successful conservative treatment of mild lower arch length deficiencies (2 to 5 mm.) are explored for twenty growing patients in the late mixed dentition. 2. Methods of case selection and treatment particulars are presented. 3. Each patient should be considered as an individual with regard to cephalometric norms for the optimal position of the incisors, in determining the size of the leeway space at the lower second deciduous molar position, in evaluating the feasibility of distal uprighting the lower first permanent molars, and in formulating a reasonable treatment plan. 4. It is postulated that oversized lower second deiduous molars may be an etiologic factor in some mild lower arch length deficiencies (r = 0.4; P less than 0.05). 5. The amount that the lower first premolars and lower canines can be distally retracted into the leeway space in these conservatively treated cases is directly related to retraction of the lower incisors (r = 0.7; P less than 0.01). In the present cases uprighting the lower incisors allows the upper teeth to be treated well and together this enables functional and esthetic improvement and tooth stability.


Centrically related cephalometrics.

Centrically related cephalometrics.


Thumb- and pacifier-sucking habits.

Thumb- and pacifier-sucking habits. The prevalence of thumb- and pacifier-sucking children was studied in two "kibbutz" settlements and city nurseries. The variables considered were age, sex, duration of breast feeding, and family size. Data on 333 children were collected by interviewing the parents, and nurses (in kindegartens and nurseries). Differences in prevalence were found between the three groups. Among the city children, 95 per cent sucked and 89 per cent and 69 per cent of the kibbutz children had sucking habits. In Group A, from whom pacifiers were withheld, most children sucked their fingers. With the increase in age, the prevalence was lower in all groups. No difference was found between the sexes. A reverse association was found between finger and pacifier sucking. No association was found between the habit and the duration of breast feeding. The prevalence was highest in single children. It is suggested that the pacifier may be a substitute of choice for thumb sucking.


Constituent society presidents discuss current orthodontic issues. Part I.


The use of methylphenidate and imipramine in Gilles de la Tourette's disease in children. The authors treated two children with Gilles de la Tourette's disease and one child with a probable combination of Gilles de la Tourette's disease and minimal brain dysfunction with methylphenidate, which resulted in exacerbation of symptoms. One child was briefly treated with imipramine, with similar results. The authors suggest that these pharmacologic agents should be used cautiously in treating patients with possible movement disorders (tics) and conclude that their findings lend support to the catecholamine hypothesis of the etiology of Gilles de la Tourette's disease.


The permeability of the lymphocyte membrane: applying a particle size analyzer and a hybrid computer to measure rapid changes in cell volume. In summary, this method is ten to twenty times more sensitive than the densimeter method as presently employed. This is not to say that densimeter methods may not be feasible if suitably modified. For example, modern flow systems such as those used at Los Alamos Scientific Laboratories, which measure light transmittance and scattering on an individual cell-by-cell basis, could probably be modified and adapted to summate individual pulses as the population responds to an osmotic gradient prior to entry into the analyzer. Nevertheless, with our present method, we are able to measure the permeability profile of lymphocyte populations from peripheral blood. It should be readily applicable to isolated populations from aspirated bone marrow.


An electron microscopic study of the spleen of the rat in an acute myelogenous leukemia. The spleens of rats were studied by light and electron microscopy during the course of an acute myelogenous leukemia, with special reference to infiltration of leukemic myeloblasts in the spleens and to the correlation of leukemic cell infiltration with splenic hematopoiesis and splenomegaly. Leukemic myeloblasts infiltrated the cordal space of the red pulp. Many of them appeared in groups. Even in spleens which were heavily infiltrated, leukemic myeloblasts did not penetrate the while pulp. Massive infiltration and proliferation of the leukemic myeloblasts in the red pulp resulted in splenomegaly. The spleen increased its hematopoietic activity, while the medullary hematopoiesis diminished due to the invasion of leukemic myeloblasts in the bone marrow. Compensatory splenic hematopoiesis occurred in most of the leukemic spleens, but diminished in spleens which were very heavily infiltrated with leukemic myeloblasts. Thus, the degree of splenomegaly and splenic hematopoiesis did not necessarily correspond to the percentage of leukemic myeloblasts in the bone marrow, but rather related to the number of leukemic myeloblasts present in the spleen. A possible role for the splenic sinus walls in promoting compensatory hematopoiesis in the spleen is discussed. A consistent association of type "C" virus particles with leukemic myeloblasts was observed.