Time-compressed spondaic words as a measure of speech reception threshold. Lists A and B of the C.I.D. W-1 spondees were time-compressed with a Lexicon Varispeech I unit. SRTs were collected from one ear of each of 60 normal-hearing young adults. No list differences were found. The R ears of 30 Ss were superior to the L ears of 30 Ss by 0.8 db. Mean SRTs collapsed across lists and ears were 9.3-10.7-13.2 db for the compressions in the order 0-40-60%. The differences were judged clinically insignificant, nevertheless when considered with earlier data it may be concluded that time-compressed spondees may come to have use as a clinical device.


The additive effects of two mutant genes on otolith formation in mice: an animal model to assess otolith function. This study examined the additive effects of two mutant genes, pallid (pa) and tilted head (th), on otolith formation in mice. Four strains of mice were bred: (1) a control strain, heterozygous for both pa and th. (2) a pallid strain, homozygous for pa, (3) a tilted head strain, homozygous for th, and (4) a double mutant strain, homozygous for both pa and th. The results were confirmed (1) behaviorally, by the animals' ability to swim, and (2) by histological examination of the inner ear. The findings suggest significant differences in mean otolith scores between all possible pairs of strains. As expected, the controls had normal otoliths and the pa/th strain the most severe otolith defects. Furthermore, there was a significant directional asymmetry in mean otolith scores between the utricle and saccule of the R and L ears for both pa and th strains. The results also showed a highly significant linear relationship between poor swimming ability and reduction of otoconia (r = 0.94, F = 92.14, p less than .001).


Level dependence of critical bandwidth: notched-noise masking paradigm. The effect of increased stimulus level on critical bandwidth was investigated. Noise-masked, pulsed-tone thresholds were obtained by a Bekesy tracking procedure from 4 practiced normal-hearing adults at .5, 1, 2, and 4 kc/s. Tones were placed symmetrically within a band-reject region. Critical bandwidth was taken as the frequency separation between noise bands at which masked tonal threshold began to change and was found to increase fairly regularly as the spectrum level of the noise increased from 30-60 db SPL. However, the data at 60 db SPL may have been influenced a 2 and 4 kc/s by the detection of aural distortion products. The suggestion was made that when signal frequency is outside the spectral limits of the masker, critical bandwidth widens as masker level is raised; however, when signal frequency is within the spectral limits of the masker (as with a continuous noise wit no notches), critical bandwidth remains unchanged up to 80 bd SPL.


Dynamic auditory localization: systematic replication of the auditory velocity function. Two experiments explored the capability of normal-hearing adults to judge the apparent velocity of an unseen moving sound source. In exper. I, 9 naive and, 1 experienced S judged the velocity of a moving source emitting a .5-kc/s tone at 50 db SPL. S's head was in the center of a circle of 1.88-m radius swept by a small loudspeaker. In exper. II the sound was a low-pass-filtered (0.1-1 kc/s) noise at 50 db sound spectrum level. In both experiments perceived velocity was directly proportional to the actual velocity of the source. These results support out initial observations (Waugh et al, J. Aud. Res., 1979, 19, 103-1 10) that auditory velocity discrimination can be described as a power function with an exponent of 1.0. In exper. II the Ss also varied the sound source velocity by means of a variable resistor to produce a perceived velocity of 100 degrees/sec. Performance on the adaptive velocity production task was successfully predicted from the data of the absolute velocity judgment task. The Weber fraction was .052 for relatively fast-moving sound sources (100 degrees/sec). The ability to discriminate sound source velocity appears to be a well-defined feature of the dynamic binaural spatial system.


Field and laboratory studies of moving and temporally variable noise sources (aircraft); perception of location, movement, and direction. The conditions were examined under which more valid and reliable estimates could be made of the effects of aircraft noise on people. In Exper. 1, 12 Ss in 2 different houses directly under the flight path of a major airport (JFK) indicated 1 of 12 possible flight paths (4 directly overhead and 8 to one side) for each of 3 jet aircraft flyovers: 3% of cases in House A and 56% in House B (which had open windows) were correctly identified. Despite judgment inaccuracy, Ss were more than moderately certain of the correctness of their judgments. In Exper. II. Ss either inside or outside of 2 houses in Wallops Station, Virginia, indicated on diagrams the direction of flyovers. Each of 4 aircraft (Boeing 737, C-54, UE-1 helicopter, Queenaire) made 8 flyovers directly over the houses and 8 to one side. Windows were either open or closed. All flyovers and conditions were counterbalanced. All sound sources under all conditions were usually judged to be overhead and moving, but for Ss indoors with windows closed the to-the-side flyovers were judged to be off to the side in 24% of cases. Outdoor Ss reported correct direction in 75% of cases while indoor Ss were correct in only 25% (windows open) or 18% (windows closed). Judgments "to the side" were significantly better (p = less than .02) with windows open vs closed, while with windows closed judgments were significantly better (p = less than .05) for flyovers overhead vs to the side. In Exper. III, Ss localized in azimuth and in the vertical plane recorded noises (10 1-oct noise bands of CF = 28.12 c/s - 14.4kc/s, spoken voice, and jet aircraft takeoffs and landings), presented through 1, 2, or 4 floor-level loudspeakers at each corner of a simulated living room (4.2 x 5.4m)built inside an IAC soundproof room. Aircraft noises presented by 4 loudspeakers were localized as "directly" overhead 80% of the time and "generally overhead" about 90% of the time; other sounds were so localized about 50% and 75% of the time respectively. Through only 2 loudspeakers, aircraft noises were localized 25-36 degrees above horizontal. Implications are that acoustic realism can be achieved in simulated aircraft overflights and that future laboratory noise-effects research should incorporate the required conditions.


Screening of three synthetic organic trivalent antimonials for potential antischistosomal activity in mice.


A study of small intestinal function histology and histochemistry in hepatosplenic schistosomiasis.


Radiological study of small intestine in hypoproteinaemia.


Interaction between aminophylline and beta adrenergic blockers "propranolol" & "practolol" on the myocardium and tracheal spirals in experimental animals.


Dangers and interactions between drugs used in conjunction with anaesthesia.


Pharmacological assessment  of the anaesthetic potency and acute toxicity of althesin and its steroidal components in laboratory animals.


Effects of althesin and its steroidal components on a variety of excised smooth muscle preparations.


Circulatory disturbances of the spinal cord.


Influence of the substituent radicals in antimonyl naphthalein derivatives on the potentialities of anti-schistosomal activity in mice.


Acute toxicity studies of some new organic trivalent antimonials.


A study of small intestinal functions, histology and histochemistry in malnutrition.


A study of small intestinal functions histology and histochemistry in nephrotic syndrome.


Genetic counselling.

Genetic counselling.


Heart disease in children.

Heart disease in children.


Fatal aplastic anaemia complicating infectious mononucleosis--a case report with brief review of literature.


Total white count: estimation by peripheral blood film.


The battered child syndrome in Singapore.


Priorities in health care delivery to the school child.


Limits to medicine.

Limits to medicine.


The chondrodysplasia punctata syndrome--the rhizomelic type.


Effects of herbs and drugs during pregnancy and lactation. Prior to considering the effects of herbs and drugs during pregnancy and lactation, attention is directed to the relevance of herbal medicines to human patients.  When a drug is taken orally, its absorption, biotransformation, and excretion will affect its blood level.  It then makes its way to the capillaries surrounding the alveoli of the breast, and the drug must cross the endothelium of the capillaries into the alveolar cells of the breast and then be excreted into the lumen with the milk.  Most of the drugs are excreted into milk by a process of diffusion as a result of a variation in the concentration gradient between plasma and milk.  Transfer of drugs also depends on their molecular size.  A table of drugs which have been found to be excreted or not, and if so whether the levels would be significant for the infant or not, is presented.  Several years of observation of prescription habits of herbalists in Singapore have brought to the surface the use of certain herbs which form the core of different prescriptions.  The following "core" herbs and their variations are described:  radix angelicae sinensis; radix rehmanniae; radix poeoniae alba; rhizoma ligusticum wallichii; rhizoma atractylis macrocephacae; glycyrrhiza radiz; ginseng radiz; gelatinum assini; radix codonopsis philosula; radix astragali; rhizoma cyperi; cinnamonium cassia; fritillaria cirrhosa; and poncirus trifoliata.  These "core" herbs are used in various presentations and combinations in various amounts in certain prescriptions for certain purposes during pregnancy.  It is difficult to confirm the effects which the Chinese herbalists claim when these herbs are prescribed for pregnant women.  The conclusion is that there is no specific effect on the pregnant woman, but this does not exclude the possibility of a beneficial psychosomatic effect.  It must also not be forgotten that the acttive principles can cross the placenta and reach the fetus.


Measles: mortality and morbidity in Singapore children.


Singapore kernicterus.

Singapore kernicterus.


Normal & abnormal physical growth & development.


Reference values for serum immunoglobulins and complement C3 and C4 of Singapore children.


The problems of mental subnormality in a developing country.


Sulpiride and headache syndromes.

Sulpiride and headache syndromes. Numerous studies have indicated that sulpiride exerts a positive effect upon several psychosomatic symptoms. This effect is generally believed to depend on the thymoanaleptic activity of the molecule. Since headache can often represent the warning symptom of a masked depression, in the present study sulpiride has been administered to patients suffering from nonorganic headache syndromes. The results obtained confirm the efficacy of sulpiride in relieving headache and other psychosomatic discomforts.


Variations in self-assessment of personality characteristics in depressed patients, with special reference to aspects of aggression. 30 in-patients, 14 male and 16 female, aged 24-69 years (mean age 47.1 +/- 2.7) suffering from a moderately severe or severe depressive syndrome completed a new personality inventory, the KSP, on two separate occasions. The first-when they were depressed and had just been admitted to the hospital, the second when they were at home and in their customary situation. On the same test occasions the severity of their psychopathology was rated by means of the CPRS. A significant improvement in CPRS rating was ascertained on the second test occasion. In contrast only small changes occurred in the subscales of the KSP. The score referring to 'psychic anxiety' and to 'somatic anxiety' decreased slightly but significantly (p less than 0.05). The scores referring to 'social desirability' also showed a significant (p less than 0.01) slight decrease. Of particular note is that no significant differences were found in the 6 KSP subscales concerned with aspects of aggression, or in the factors which can be obtained from these subscales. Our findings amongst this population of non-psychotic depressed patients do not support the assumption that changes in the direction of aggression occur during depression.


Chronic benign granulocytopenia.

Chronic benign granulocytopenia.


A 30 months prospective clinical study on hypoglycaemia in high risk neonates.


Superior QRS axis in congenital heart disease.


Experimental studies on the biological properties of Bordetella pertussis.


The serological diagnosis of domestic animals' leptospirosis by complement fixation test with antigens prepared in two different ways.


An evaluation of three new commercial peptones used in some nutrient media designed for the isolation and characterization of pathogenic vibrios.


Experimental Pseudomonas aeruginosa pneumonia.


Nisbet Symposium: "Current medical politics and peer review".


Cranial C.T. in retrospect.

Cranial C.T. in retrospect.


Pulmonary encasement - a sign of advanced malignant diffuse mesothelioma.


Interrupted aortic arch with tricuspid atresia.


Influenza virus split vaccines. Effect of priming infection on serologic response in humans.


Mucocoele of the appendix.

Mucocoele of the appendix.


Studies of some factors affecting the cell growth supporting capacity of calf serum.


The distribution of D-aminoacidoxidase in bacteria.


Ultrasonic demonstration of a dilated pancreatic duct in chronic pancreatitis - the "double dot" sign.


Echopattern of the enlarged spleen on ultrasonography.


Osteochondroma of the clivus.

Osteochondroma of the clivus.


Further improvements in metrizamide myelography.


Biologic properties of lyophilized live typhoid vaccine strains.


Lumbar spinal canal stenosis.

Lumbar spinal canal stenosis.


The battered child syndrome.

The battered child syndrome.


Radionuclide diagnosis of pulmonary artery aneurysm.


Isolated azygos continuation of the inferior vena cava.


Perforation of a hollow viscus without evidence of free gas.


A huge bile cyst--an unusual complication of percutaneous transhepatic cholangiography (PTC).


Renal calculus. A sexual paradox.

Renal calculus. A sexual paradox.


The value of radiological investigation in paediatric urinary tract infection.


Radiological features of two cases of renal oncocytoma.


Gynaecological experience with an octoson.


The radiotherapy of non-seminomatus germinal tumours of the testis.


Double contrast arthrography of the knee joint using horizontal beam fluoroscopic positioning.


Carpal instability and carpal injuries.

Carpal instability and carpal injuries.


Tricho-rhino-phalangeal syndrome with Perthes disease-like changes and coxa vara (report of a case).


Arteriopathy and amphetamine abuse.

Arteriopathy and amphetamine abuse.


American Burkitt's lymphoma: diagnosis by ultrasonography and arteriography.


Characteristic features of the oogram pattern and portal mesenteric adult worm load in experimental Schistosoma mansoni infection in mice without treatment.


The influence of proteoglycans on the macromolecular structure of collagen.


Platelet interactions with collagenous substrates in the presence of flowing blood.


Recent advances in platelet structural physiology. Platelet structural physiology has contributed significantly to our understanding of basic mechanisms of platelet function in hemostasis and thrombosis. Current evidence indicates that platelets are a form of muscle cell with specialized capabilities for secretion and adhesion-aggregation. Activation of the discoid cell by any agent appears to involve a perturbation of the membrane resulting in movement of calcium from the cell wall to the interior. The calcium flux stimulates phospholipase A2 to cleave arachidonic acid from platelet phospholipids starting the cascade of prostaglandin synthesis. In addition, the movement of calcium to the cytoplasm initiates contraction leading to shape change. Products formed during prostaglandin synthesis, particularly thromboxane A2, act as ionophores to transport additional calcium from the dense tubular system to the cytoplasm amplifying the wave of contraction. Alterations in organelle membranes result in their fusion with channels of the open canalicular system. The contractile wave causes extrusion of secretory products which stimulate other platelets to become involved in formation of irreversible aggregates in vitro and hemostatic plugs in vivo. Mechanisms regulating platelet stimulation-contraction-secretion coupling are currently under investigation.


An analytic solution to the Förster energy transfer problem in two dimensions. An analytic solution of the Förster energy transfer problem in two dimensions is presented for the case in which the orientation factor is independent of the donor-acceptor distance, and both the donors and acceptors are randomly distributed in a plane. A general solution based on the method of Förster is possible since all distances are measured in units of R0. The analytic solution is extended to the cases of donors embedded in structures that exclude acceptors, and donors that bind acceptors. The validity of the analytic solutions is demonstrated by comparison with numerical simulation calculations. Numerical approximations to the exact solutions are given for ease of computation. Specific applications to the case of fluorescence quenching of a membrane-bound donor by membrane-bound acceptors are presented.


Current noise parameters derived from voltage noise and impedance in embryonic heart cell aggregates. We have recorded membrane impedance and voltage noise in the pacemaker range of potentials (-70 to -59 mV) from spheroidal aggregates of 7-d embryonic chick ventricle cells made quiescent by exposure to tetrodotoxin in medium containing 4.5 mM K+. The input capacitance is proportional to aggregate volume and therefore to total membrane area. The specific membrane capacitance is 1.24 microF/cm2. The input resistance at constant potential is inversely proportional to aggregate volume and therefore to total membrane area. The specific membrane resistance in 18 k omega . cm2 at -70 mV and increases to 81 k omega . cm2 at -59 mV. The RC time constant is 22 ms at -70 mV and increases to 146 ms at -59 mV. The aggregate transmembrane small-signal impedance can be represented by a parallel RC circuit itself in parallel with an inductive branch consisting of a resistor (rL) and an inductor (L) in series. The time constant of the inductive branch (L/rL) is 340 ms, and is only weakly dependent on potential. Correlation functions of aggregate voltage noise and the impedance data were modeled by a population of channels with simple open-close kinetics. The time constant of a channel (tau s) derived from the noise analysis is 300 ms. The low frequency limit of the pacemaker current noise (SI[0]), derived from the voltage noise and impedance, increases from 10(-20) A2/Hz . cm2 at -67 mV to 10(-19) A2/Hz . cm2 at -61 mV.


Contraction of glycerinated muscle fibers as a function of the ATP concentration. We have measured the force-velocity curves of glycerinated rabbit psoas fibers over a range of ATP concentration from 2.5 microM to 5 mM. As the ATP concentration is increased, the isometric tension increases to a maximum around 50 microM, then decreases to a plateau at 70% of the maximum by 1 mM ATP. At low ATP concentrations the maximum velocity of contraction is low and increases with increasing ATP, reaching a plateau at approximately 2 lengths per second by 1 mM ATP. Our studies suggest that the binding of ATP dissociates the myosin head from actin in the contracting muscle, a reaction similar to that seen in solution. We have constructed models of the actin-myosin-nucleotide interactions based on a kinetic scheme derived from solution studies. The fit of these models to the data shows that the rates of some reactions in the fiber must be considerably different from the rates of the analogous reactions in solution. The data is best fit by models in which head attachment occurs rapidly at the beginning of a power stroke, head detachment occurs rapidly at the end of the power stroke, and the force produced by a myosin head in a power stroke is independent of velocity.


Effect of the anesthetics benzyl alcohol and chloroform on bilayers made from monolayers. The neutral anesthetics chloroform and benzyl alcohol, at concentrations that block the nerve impulse, greatly modify the transport parameters of positive and negative ions in lipid bilayers made from monolayers. Both chloroform and benzyl alcohol increase the membrane permeability to these ions and increase the translocation rate for tetraphenylborate. It was found that both anesthetics increase the membrane permeability to positive ions more markedly than to negative ions. It was also found that the membrane capacitance increases lineary with the concentration of benzyl alcohol. At 51 mM benzyl alcohol, the increase in capacitance is approximately 6%. Chloroform also increases the membrane capacitance; the increase in capacitance was found to be 6% at 18 mM chloroform. An analysis of the changes in the transport parameters of the lipophilic ions, together with the changes in membrane capacitance, suggests that benzyl alcohol and chloroform modify the dipole potential and dielectric constant of the membrane. Benzyl alcohol may also increase the "fluidity" of the lipid bilayer membranes. At 36 mM benzyl alcohol, the membrane permeability to acetamide increases by 38%.


Fluorescence redistribution after photobleaching. A new multipoint analysis of membrane translational dynamics. A theoretical formulation and experimental methodology are presented for a new multipoint analysis of membrane translational dynamics. The redistribution of fluorescent probe after a localized photobleaching pulse is monitored at several locations by a focused laser beam sequentially scanned through the bleached area. The spatial information so obtained provides a unique sensitivity to possible systematic flow and a direct internal calibration of the characteristic transport distance. These capabilities are demonstrated with experimental data on a reconstituted multibilayer system.


Some preliminary studies of the effects of a static magnetic field on the life cycle of the Lebistes reticulatus (guppy). Lebistes reticulatus (guppy) was subjected to a continuous treatment of a 500-G homogeneous magnetic field within a specially designed horseshoe magnet encompassing a small aquarium. The experiment was carried through several generations with the following results: in the first generation, the brood size was normal but the gestation period was reduced by 30%; the second generation had an average reduction of spawn rate of 50% and a reduction of the gestation period of 30%; and in the third generation, reproduction was completely inhibited as long as the fish remained within the magnetic field.


Correlation among the rates of dimer excision, DNA repair replication, and recovery of human cells from potentially lethal damage induced by ultraviolet radiation. The kinetics of excision repair in confluent cultures of diploid human fibroblasts after ultraviolet irradiation at varying doses was measured by three different methods: (a) removal of thymine-containing dimers, (b) DNA excision repair synthesis, and (c) biological recovery of cells from the potentially lethal effects of the irradiation. Each method gave similar results and indicated that the excision rate was dependent upon the number of thymine-containing dimers induced (substrate concentration). For example, at a dose of 40 J/m2 (0.2% dimerization), the repair rate was 1.6 J/m2 per h as determined by a modified method to measure the number of thymine-containing dimers remaining in DNA and 1.65 J/m2 as measured by excision repair synthesis. At a dose of 7.5 J/m2, the repair rate was 0.5 J/m2 per h as measured by biological recovery, and at a dose of 7 J/m2, the repair rate was 0.46 J/m2 per h as measured by excision repair synthesis.


Internally perfused Myxicola giant axons showing long-term survival. An improved method for internally perfusing the Myxicola giant axon based on removing the axoplasm by dispersing it in KCl-KF salt solutions is described. Proteolytic enzymes are not introduced. With this improved method perfused preparations show long-term stability of their electrical properties and the ability to generate action potentials for many hours. Mean initial values for resting membrane potential, action potential amplitude, and peak inward current were -68 mV, 118 mV, and 3.62 mA/cm2, respectively. Mean resting membrane resistance was 75% of that in intact axons. In one series of voltage clamp experiments, perfused preparations remained excitable for a mean period of 5 1/2 h, but this period could exceed 10 h. 4 min are needed for exchange of internal solutions. At least 50 mM KF is required both in the axoplasm liquefying solution and in the standard perfusate to obtain stable preparations.


Nuclear magnetic resonance multiwindow analysis of proton local fields and magnetization distribution in natural and deuterated mouse muscle. The proton free-induction decays, spin-spin relaxation times, local fields in the rotating frame, and spin-lattice relaxation times in the laboratory and rotating frames, in natural and fully deuterated mouse muscle, are reported. Measurements were taken above and below freezing temperature and at two time windows on the free-induction decay. A comparative analysis show that the magnetization fractions deduced from the different experiments are in good agreement. The main conclusion is that the resolution of the (heterogeneous) muscle nuclear magnetic resonance (NMR) response is improved by the multiwindow analysis.


Comments on the fluorescein excitation and emission polarization spectra in living cells.


Fluctuations in interbeat interval in rhythmic heart-cell clusters. Role of membrane voltage noise. Small clusters of ventricular cells prepared from 7-d chick heart maintain spontaneous, stationary, rhythmic beating in culture for many hours. For clusters containing I-125 cells, mean interbeat interval (IBI) is 0.45 +/- 0.08 s and is independent of cell number (N), whereas, the coefficient of variation of IBI (C) is proportional to N-1/2. Because membrane voltage noise in such clusters would also be expected to vary as N-1/2, we propose a model relating fluctuation in IBI (sigma IBI) to voltage noise (sigma v). A simplified model consisting of random voltage fluctuations superimposed upon a linear pacemaker depolarization of slope a is used to analyze the N-dependent shape of the IBI histogram. Values of sigma v derived from the relation sigma IBI = sigma v/a, or calculated from the skewness of the measured IBI histograms, both agree well with those extrapolated from steady-state noise recorded from resting heart-cell aggregates.


Involvement of mitochondria in changes in fluorescein excitation and emission polarization spectra in living cells. The comparison of fluorescein polarization spectra in living cells and in isolated subcellular structures identified the mitochondria as the cytoplasmic domain in which on excitation at 470 nm the sharp fluorescein emission polarization peak at 510 nm is formed. Changes in the emission polarization peak during the cell cycle or those induced by growth stimulators and inhibitors reflect structural changes in the mitochondria on their transition from the resting, orthodox into the active, ATP-generating, condensed conformation and vice versa. Possible mechanisms for the formation of the sharp emission polarization peak are discussed.


Effect of boundaries on the response of a neural network. The effect an abrupt boundary has upon the dynamical response of a neural network is investigated. The retina of the Limulus eye is used as a model system for studying this effect. A theoretical technique is presented for the quantitative prediction of the manner in which this neural network responds in the vicinity of its boundary. Corresponding experimental measurements of the response to moving stimuli by single optic neurons located near retinal boundaries are presented. Theory and experiment show detailed quantitative agreement.


Absorption spectra for the complexes formed from vitamin-A and beta-lactoglobulin. The interactions between vitamin-A and beta-lactoglobulin have been investigated. We have found that two different complexes can be formed: one involving vitamin-A, and one involving a derivative of vitamin-A that most probably has a retro-beta-ionylidene structure. Room temperature absorption spectra for these complexes in phosphate buffer at pH 7.50 are reported and discussed.


Quasi-elastic light-scattering spectra of swimming spermatozoa. Rotational and translational effects. The electric field autocorrelation functions of light scattered from normal swimming bull spermatozoa are shown to be dependent on the mean head rotation frequency and not on the translational speed of the cells, as previously believed. This result was obtained from numerical generation of functions in which spermatozoa were modeled as Rayleigh-Gans-Debye ellipsoids having semiaxes a = 0.5 micrometer, b = 2.3 micrometer, and c = 9.0 micrometer. The magnitude of c required to achieve agreement with the experimental data is larger than the half-length of the head region of the cell. This implies that the midpiece, which also lies along c, contributes to the scattering power. Details regarding swimming trajectory and head orientation are included in the model. Analyses of the calculated functions and comparisons with experimentally determined ones suggest that at a scattering angle of 15 degrees the electric field autocorrelation function can be fit a simple Lorentzian whose half-width is inversely proportional to the scattering vector and the mean head rotational frequency.


X-ray response of Chinese hamster ovary cells during the latter part of G2. The ability of Chinese hamster ovary (CHO) cells to repair x-radiation damage during the transit from the late G2 to early M cell cycle stages was investigated by conventional dose-fractionation techniques. Despite their relatively high radiation sensitivity, CHO cells positioned in late G2 exhibit increased survival when a given dose of ionizing radiation is administered as two fractions (separated by 40-50 min) instead of as a single fraction. This increased survival apparently represents repair since neither cell cycle progression nor changes in the number of "effective targets" can account for the observed dose-sparing effect.


Autocorrelation analysis of hydrophobic ion current noise in lipid bilayer membranes. The autocorrelation function of a given process is related to its spectral density by the Wiener-Khintchine theorem, and both expressions contain the same information. We report here a measurement of the current noise produced in a lipid bilayer membrane doped with hydrophobic anions of dipicrylamine. The results are in good agreement both with relaxation measurements on the same membrane and with an analysis of the spectral density of the current noise for this system which has been presented by other workers. Although measurement of the spectral density function is generally more complete for technical reasons, the autocorrelation function provides, for the case studied here, more physical insight into the underlying charge transport mechanism. We find that the measured autocorrelation function is negative at short, but nonzero, times. This is a consequence of the operative conductance mechanism in this case, which cannot carry current continuously in the same direction without compensatory reverse flow.


An analysis by low-angle neutron scattering of the structure of the acetylcholine receptor from Torpedo californica in detergent solution. The acetylcholine receptor from the electric tissue of Torpedo californica is a large, integral membrane protein containing four different types of polypeptide chains. The structure of the purified receptor in detergent solution has previously been investigated by sedimentation analysis and gel filtration. Sedimentation analysis yielded a molecular weight of 250,000 for the protein moiety of the receptor monomer-detergent complex; hydrodynamic characteristics such as the Stokes radius, however, refer to the receptor-detergent complex. In this paper we report the results of our use of low-angle neutron scattering to investigate the shape of the receptor-detergent (Triton X-100 from Rohm & Haas Co., Philadelphia, Pa.) complex and separately of its protein and detergent moieties. By adjustment of the neutron-scattering density of the solvent with D2O to match that of one or the other of the moieties, its contribution to the scattering can be nearly, if not completely, eliminated. Neutron scattering from Triton X-100 micelles established that this detergent is contrast matched in approximately 18% D2O. Scattering measurements on the receptor-detergent complex in this solvent yielded a radius of gyration of the acetylcholine receptor monomer of 46 +/- 1A. The radius of gyration and molecular volume (305,000 A3) of the receptor are inconsistent with a compact spherical shape. These parameters are consistent with, for example, a prolate cylinder of dimensions (length x diameter) approximately 150 x approximately 50 A or an oblate cylinder, approximately 25 x approximately 130 A. More complex shapes are possible and in fact seem to be required to reconcile the present results with previous electron microscopic and x-ray analyses of receptor in membrane and with considerations of the function of the receptor in controlling ion permeability. The neutron-scattering data yield, in addition, an independent determination of the molecular weight of the receptor protein (240,000 +/- 40,000), the extent of Triton X-100 binding in the complex (approximately 0.4 g/g protein), and from the extended scattering curve, an approximation to the shape of the receptor-Triton X-100 complex, namely an oblate ellipsoid of axial ratio 1:4.


Clinical spectrum of "unstable angina".

Clinical spectrum of "unstable angina". In order to determine the natural evolution of different clinical types of "unstable angina", 167 patients were included in a prospective study. After angiography, 11 (6.5%) were excluded because they had no significant coronary lesions. The remaining 156 were sorted into different groups according to their clinical characteristics and were followed up for a period of 24 months at least. After that follow-up period, mortality and incidence of acute myocardial infarction (AMI) were as follows: angina of recent onset (Class III--IV NYHA): 8.5% (3/35) and 34.2% (12/35). Progressive angina: 7.4% (2/27) and 7.4% (2/27). Intermediate syndrome: 41.6% (10/24) and 37.5% (9/24). Prinzmetal's angina: 10% (1/10) and 10% (1/10). Post acute myocardial infarction angina: 35% (7/20) and 10% (2/20). Acute persistent ischemia: 2.5% (1/40) and 20% (8/40). Comparison of these figures pointed out significant differences (p less than 0.001 for mortality and p less than 0.03 for AMI incidence respectively). We conclude that it is clinically possible to identify different groups within the so-called unstable angina. Such a division not only allows for the creation of more homogeneous groups, but it contributes to a more rational therapeutic approach and also permits identification of high risk prodromes of greater complications, such as myocardial infarction or sudden death.


Exercise 201thallium myocardial scans in patients with disease limited to the secondary branches of the left coronary system. Coronary disease (greater than or equal to 50% narrowing) confined to only the diagonal branch of the left anterior descending artery or to the marginal branch of the left circumflex artery, or both, is uncommon. Only 19 patients with disease as defined above were identified in a group of 1000 consecutive patients with an angiographic diagnosis of coronary heart disease. All 19 patients were studied because of angina pectoris and all underwent stress myocardial perfusion scintigraphy with 201Tl (201thallium) during maximal treadmill exercise testing (exercise electrocardiogram: E/ECG). Ten patients (52%) had positive E/ECG's; seven patients (36%) had positive 201Tl and 13 patients (68%) had one or both tests positive. In 12 patients, the diseased branch was small, i.e. it supplied a comparatively small portion of myocardium, and in seven patients it was determined to be large. The 201Tl test results were positive in four out of seven patients (57%) with large diseased branches, as compared with three out of 12 (25%) with small diseased branches (p: NS). Also, three out of seven patients (42%) with large diseased branches had positive E/ECG's as compared with seven out of 12 patients (58%) with small diseased branches (p: NS). Patients with branch disease may present with typical angina pectoris, however, they are rare and thus not likely to account for the majority of false-negative 201Tl test results among symptomatic patients with CHD. Approximately one-third of the patients with branch disease have positive 201Tl test results, one-half have positive E/ECG's, and in two-thirds, one or both tests are positive.


Dimeditiapramine (Ro 11-1781), a new calcium antagonist, in the management of supraventricular tachyarrhythmias in patients with acute myocardial infarction. 18 patients with acute myocardial infarction and sustained arrhythmias were treated with a new Ca2+ antagonist, Ro 11-1781, at the dose of 1.0 mg/kg i.v. The drug was effective in reducing heart rate to less than 90 beats/min in 9/10 patients with atrial fibrillation, in 3/4 patients with atrial flutter and in 3/4 patients with supraventricular tachycardia. The peak effect was observed within 2--5 min after the intravenous administration of Ro 11-1781. In cases with recurring tachyarrhythmias, the drug was also effective in repetitive administration. Systolic blood pressure was reduced, but severe hypotension (less than 90 mm Hg) was not observed. The atrioventricular conduction in these patients remained unimpaired and asystole did not occur. The drug appears to be an effective and a well tolerated antiarrhythmic agent.


Beneficial effects of prolonged low dose dopamine in hospitalized patients with severe refractory heart failure. In 10 hospitalized patients with severe congestive heart failure refractory to standard medical therapy for three days, low dose intravenous dopamine (2-4 micrograms/kg/min) was infused for 48 h. Heart rate and systolic blood pressure were unchanged throughout the study. Mean pulmonary artery wedge pressure decreased significantly during the dopamine infusion from 27 +/- 6 (SD) to 18 +/- 6 mmHg (p less than 0.01) and cardiac output increased from 3.2 +/- 1.1 to 4.6 +/- 0.8 l/min (p less than 0.001). A diuresis was initiated in all patients and there was a significant weight loss during the study which averaged 5 lbs (p less than 0.01). All patients improved symptomatically from class IV (NYHA) to class III and were more responsive to conventional therapy after the study. No adverse reactions were noted in this dose range. We conclude that low dose intravenous dopamine is efficacious in improving hemodynamics and initiating a diuresis in patients with severe refractory congestive heart failure.


The superiority of mitral E point-ventricular septum separation to other echocardiographic indicators of left ventricular performance. M-mode echocardiography, angiocardiography, and coronary arteriography were done in 40 patients with coronary heart disease, 12 with congestive cardiomyopathy, and 14 with no detectable cardiac or coronary abnormality. We measured mitral E point-ventricular septum separation (EPSS) at the moment of the E peak; the previously described method measures EPSS as the vertical distance between the nadir of systolic septal motion and the subsequent mitral E peak. Angiocardiographic ejection fractions correlated better with EPSS (r = 0.83) than with left ventricular (LV) end-diastolic internal diameter (r = 0.62), LV internal diameter systolic shortening fraction (r = 0.64), LV echocardiographic ejection fraction (r = 0.70), and LV posterior wall systolic thickening (r = 0.58). Patients with angiocardiographic ejection fractions below 55% usually had EPSS values over 10 mm by our method. Six false negatives and one false positive occurred. Our observations in patients with impaired LV performance suggest that LV dilatation, and especially dilatation of the LV outflow tract, is relatively more important than reduction in the amplitude of diastolic anterior mitral excursion in the production of high EPSS values. Although the usual method for measuring EPSS and ours are equally satisfactory, ours has certain theoretical advantages.


Studies on digitalis. 23. Blood-brain barrier of digitoxin in humans.


Prenylamine. Autoradiographic and neuropathological studies on myocardial mechanisms of action. Myocardial localization of prenylamine (PNL), a well known antianginal drug, was studied by means of an autoradiographic technique to detect microscopical distribution of tritiated PNL (3H-PLN). Forty Wistar rats received 35 muCi/kg b. w. 3H-PNL i. p., the animals being killed 30 min after injection. Heart slices, 1 mm thick, were processed for both autoradiographic and conventional histological techniques.  3H-PNL was observed, mainly, as striae along sarcolemma; sarcolemmal/intramyocardial 3H-PNL distribution ratio was 6 : 1. Preferential membrane deposition of 3H-PNL is probably related to the calcium transport inhibiting action of the drug, previously described.


An unusual form of mitral insufficiency accompanying atrial septal defect. An unusual case of atrial septal defect secundum type, associated with intermittent severe mitral insufficiency due to billowing anterior mitral leaflet, in a 56-year old female is described. The degree of mitral insufficiency ranged from severe to none. This phenomenon manifested itself by an intermittent systolic apical thrill and intermittent mitral regurgitation on angiocardiography. Pulling the anterior mitral leaflet at operation through the atrial septal defect demonstrated that this leaflet could be caught in the left atrium, thus causing intermittent mitral insufficiency. Closure of the atrial septal defect and replacement of the mitral valve was performed.


Fetal cardiovascular system as influenced by maternal smoking. Primary prevention of atherosclerosis should be initiated early in life, preferably in childhood. Nevertheless, it tends to be forgotten that a child has existed for nine months before birth, and that the newborn child might already have been exposed to agents capable of causing vessel damage. Studies of the umbilical artery, umbilical vein, and vessels of the placental villi (2, 3, 4, 5, 6) revealed that, in this portion of the fetal cardiovascular system, severe damage to the vessel wall is associated with maternal tobacco smoking during pregnancy. These alterations within the fetal cardiovascular system were never found in the children of non-smoking mothers. If similar changes occur in the other vessels of the newborn child, which it seems reasonable to expect, they might give rise to sequelae later in life. It should therefore strongly be advocated that pregnant women abandon tobacco smoking.


Approaches to determination of left ventricular volume and ejection fraction by real-time two-dimensional echocardiography. Left ventricular volumes and ejection fraction were derived from real time two-dimensional echocardiographic images (2 DE) and single plane (RAO) left ventricular cineangiograms in a series of 50 patients. Prospective application of a series of 6 alternate algorithms showed that a modified Simpson's rule approach using mitral and papillary muscle cross sections and an apical four chamber view provided the best 2 DE - angiographic correlations: for end-diastolic volume r = 0.82, SEE = 39 ml; for end-systolic volume r = 0.90, SEE = 29 ml and for ejection fraction r = 0.80, SEE = 0.09. The large SEE for volume determination indicates that further refinements are necessary to predict left ventricular volumes adequately; however, ejection fraction can be derived with an accuracy which allows practical clinical decisions in patients with satisfactory 2 DE images.


Radionuclide assessment of cardiac performance and myocardial perfusion in congestive cardiomyopathies. To determine the reliability of radionuclide techniques in the diagnosis of congestive cardiomyopathy (COCM), the function of the right ventricle (RV) and left ventricle (LV) was evaluated in 32 patients with COCM and 21 normal subjects using radionuclide angiography (first pass and gated blood pool scan) combined with quantitative 201 thallium (Tl) myocardial perfusion imaging. In COCM parameters of RV and LV performance were significantly reduced (p less than 0.01); regional wall motion analysis revealed a reduced radial shortening ability (p less than 0.05). 201 Tl distribution within the myocardium was not different between COCM and N; however, segmental 201Tl-uptake was significantly reduced (p less than 0.01). RV free wall was visualized on 201Tl scan in 80% of patients with COCM. There was no correlation between RV free wall visualization and RV hemodynamics. Thus these scintigraphic aspects provide an atraumatic and sensitive technique for the evaluation of patients with COCM.


Comprehensive analysis of exertional ECG changes before and after oral propranolol. In 12 patients with symptomatic coronary heart disease and three normal persons, comprehensive analyses of the electrocardiographic changes associated with symptom-limited upright exercise are made by computer analysis of the electrocardiogram recorded using a Frank XYZ lead system. This analysis provided a display of the 12 lead ECG, vectorcardiogram, polarcardiogram, and spatial cardiogram and measurements of spatial magnitudes of heart vectors. The effect of 40 mg of oral propranolol was assessed by repeating the exercise protocol 60--90 min later. There is evidence that propranolol reduces the electrocardiographic features of myocardial ischemia. This reduction in myocardial ischemia correlates with reductions in pressure rate product and heart rate. The presence of infarct criteria with exercise is variable and not apparently influenced by propranolol.


Patient profile and follow-up in medically and surgically treated young adults with myocardial infarction. Twenty-four young patients with myocardial infarction (average age 32.1 years) undergoing coronary arteriography after infarction were followed for an average of 33 months after catheterization. Prior inferior infarction was a predictor of two and three vessel coronary occlusive disease. Prior anterior infarction patients had a 64% incidence of single vessel coronary occlusive disease. Improvement in anginal symptoms over the follow-up period from the time of catheterization for the entire group was 69%. Employment at follow-up was excellent in both medically and surgically treated patients (80%). Cardiac mortality from the time of catheterization was extremely low (4%).


The magnitude of exercise-induced ST segment depression and the predictive value of exercise testing. The assess whether the magnitude of exercise induced ST segment depression improves the predictive values of symptom limited exercise tests, and helps in the recognition of patients with more severe coronary heart disease, 90 consecutive patients with positive treadmill tests who also underwent selective coronary arteriography were reviewed. The predictive value improved progressively with the increasing ST depression and was most reliable in a select group of patients with normal electrocardiographic baseline who were not receiving digitalis (73% with ST depression greater than or equal to 1 mm to 100% with ST depression greater than or equal to 4 mm). The incidence of 2 and 3 vessel disease increased from 61% with ST depression greater than or equal to 1 mm in the overall population to 100% with ST depression greater than or equal to 4 mm in the select group, and the incidence of left main trunk lesions increased, respectively from 6 to 30%. The prediction of 2 and 3 vessels disease was found to be significantly greater when patients were dichotomized into those with ST depression greater than or equal to 4 mm compared to less than 4 mm. It is concluded that the magnitude of ST segment depression definitely improves the predictive values of exercise tests as well as the ability to recognize the patients with more severe disease. However, the markedly positive exercise tests cannot be utilized to accurately predict the presence of 2 or 3 vessel disease in individual cases unless ST depression attains 4 mm or more in patients with normal electrocardiographic baseline who are not taking digitalis. In this group, the ability to predict left main trunk lesion is approximately 30%.


Notation of physical equations no longer a problem. Physical quantities and equations are used to define the laws of natural and engineering sciences. Clarity has been brought in equal measure into the the theory of physical quantities and the SI-system of units due to the basic work of Wallot and that of national and international institutions. For practical use in this paper, the most important rules and definitions for the formulation of physical equations are treated in an elementary form and the ease of their use is demonstrated in the following examples: speed of a car, capacitance of a plate capacitor, thermal emission of the cathode of an x-ray tube, oxygen uptake in cardiology, mole concentration and mass concentration of a substance in a solution. In addition, some important quantities and units of cardiology were summarized in a table.


Concealed accessory pathway and dual AV conduction: drug-dependent reentrant tachycardia. Electrophysiological studies were performed in a patient with paroxysmal supraventricular tachycardia and a normal surface ECG at the time of the study. Premature atrial stimulation revealed dual AV conduction and an echo zone during AV conduction over the fast and the slow pathway. The prolongation of the AV conduction time by a calcium antagonist, Ro 11-1781, permitted the induction of tachycardias via both pathways. Premature ventricular stimulation yielded constant VA conduction times with activation of the low right atrium before the high right atrium before the left atrium. During the tachycardia, premature right ventricular beats conducted to the atrium at a time when the AV node and the His bundle would be refractory. The study suggests the simultaneous occurrence of an occult accessory bundle connecting the right ventricle to the right atrium and dual AV conduction.


The definition and identification of need for health care. Some definitions of need for health care as a basis of planning health services are discussed. A model proposed by Donabedian (1974) relating need to resources is used to consider the problems faced by the Resource Allocation Working Party (RAWP) (Department of Health and Social Security, 1976). The paper concludes that need should be defined in relation to the procedures available to meet it and the resources that permit those procedures to be used. The procedures include the whole gamut of prevention and screening, cure and care, research and development. This necessarily raises moral and ethical issues which stretch beyond the limits of medicine and concern patients, their relatives, and the public in general. Neither the medical profession nor the lay public can be expected to help define need for health care unless they understand the underlying issues. This is a challenge to those responsible for professional and public education.


Resource allocation. Some problems in applying the national formula to area and district revenue allocations. The inadequacy of the current national formula in dealing with flows of patients across administrative boundaries is illustrated. In particular, the problems of dealing with varying admission rates for inpatients and in allocating revenues for outpatient services are discussed. We draw attention to an oversight in the recommendations concerning psychiatric services and criticise the general approach to the allocation of revenue under this heading. It is concluded that the national formula should not be applied for revenue allocation at district level in an unmodified form.


Subregional resource allocations in the National Health Service. The Resource Allocation Working Party in its report Sharing Resources for Health in England proposes a formula for the identification of both regional and district financial targets (Department of Health and Social Security, 1976). In this paper it is argued that the national formula is not a valid instrument for the latter purpose. Furthermore, research into medical needs and outcomes will not be adequate to bring about real changes in resource distribution at local levels unless it is recognised that the health authorities can meet needs in different ways and that a change in resource management from institutional to service budgeting is required.


Association of childhood mortality with housing status and unemployment. The association between mortality at the ages of 0-4 and 5-14 years in the county boroughs of England and Wales for 1971, using Kendall's correlation technique, and a variety of socioeconomic indicators, was computed. Kendall's partial correlation technique was used to determine whether any association remained when the effect of social class and unemployment was kept constant. At ages 0-4 years there was a significant and positive association between mortality and low socioeconomic position, high density housing, inadequate housing amenities, and the unemployment rate (P less than 0.001). A significant association with the housing variables remained when the effect of socioeconomic status and unemployment was kept constant. Between the ages 5-14 years there was a statistically significant association (P less than 0.001) between mortality and housing density which was eliminated when the effect of social class was held constant. There was no association between unemployment and mortality in this age group.


Principles of allocation of health care resources. The methods and principles of allocating centrally provided health care resources to regions and areas are reviewed using the report of the Resource Allocation Working Party (RAWP) (Department of Health and Social Security, 1976) and the consultative document (Department of Health and Social Security, 1976a) as a basis. A range of practical problems arising from these papers (especially the report of the RAWP) is described and traced to the terms of reference. It is concluded that the RAWP misinterpreted aspects of social and administrative reality, and it failed to recognise clearly that the several principles on which it had to work conflicted with each other and demanded decisions of priority. The consequential errors led to (a) an injudicious imposition of 'objectivity' at all levels of allocation, (b) an unjustified insistence that the same method be used at each administrative level in an additive and transitive manner, (c) the exclusion of general practitioner services from their considerations, (d) a failure to delineate those decisions which are in fact political decisions, thus to concatenate them, inappropriately, with technical and professional issues. The main requirement in a revised system is for a mechanism which allocates different priorities to different principles at each appropriate administrative and distributive level, and adapts the working methods of each tier to meet separately defined objectives.


Living conditions in childhood and subsequent development of risk factors for arteriosclerotic heart disease. The cardiovascular survey in Finnmark 1974-75. Several studies in Norway have shown large differences in risk factors for arteriosclerotic heart disease among municipalities. Today it is difficult to show specific differences in the standard of living between the various municipalities to explain these findings. However, such differences have previously existed, and were expressed by, for example, the variations in infant mortality from one municipality to another. In this work a significant positive correlation is shown between the cholesterol values among men and women aged 35-49 years and the infant mortality rate previously present in the municipalities for the same cohort. The findings indicate that poverty in childhood and adolescence, followed by later prosperity, results in high cholesterol values. The findings are related to previous work where a significant positive correlation was shown between infant mortality rates and later mortality rates from arteriosclerotic heart disease.


Bed usage and disease specific mortality within ICD chapters. Using Hospital In-Patient Enquiry (HIPE) data (Department of Health and Social Security and Office of Population Censuses and Surveys, 1974), the relationship between mortality and bed usage was examined for a number of disease categories within 10 chapters of the International Classification of Diseases (ICD) (World Health Organisation, 1967). There was found to be significant correlation within six chapters for males and within six chapters for females. The use of standardised mortality ratios (SMRs) in the formula of the Resource Allocation Working Party (RAWP) (Department of Health and Social Security, 1976) for certain chapters where no correlation could be demonstrated is questioned. It is suggested that separate SMRs for urinary disease and genital disease should be used and that the SMRs for Chapter XVII (accidents, poisoning, and violence) should either be omitted from the formula or determined separately for subdivisions of the chapter.


Relationship of mortality to socioeconomic status and some other factors in Sydney in 1971. In Sydney in 1971 low socioeconomic status was found to be associated with high mortality and this became more marked with increasing age; it was not statistically significant in relation to infant mortality. Mortality was higher among those born in Australia than among immigrants. A more varied pattern in the differences in cause specific death rates was noted in those born in Australia compared with those born overseas. Socioeconomic status was characterised by an area-type index applied to the results of 1971 census and calculated for local government areas in the Sydney Statistical Division.


Seasonal variation in admissions of psychiatric patients and its relation to seasonal variation in their births. Inpatient admissions to all psychiatric hospital beds in England and Wales in 1970-73 were studied by month of admission for eight diagnostic groups. The admission rates for schizophrenia showed a pronounced seasonal variation, with a maximum in summer. The seasonal pattern for schizophrenia was very similar to the one shown for mania, although somewhat less marked. The admission rates for neurosis and for the large group of 'all other non-psychotic mental illness' showed little evidence of seasonal variation as there was could largely be explained by social factors. In schizophrenic and manic patients, the pattern of seasonal admissions (peak months July and August) is similar to the pattern reported for their births (peak months February and March). This is consistent with the hypothesis of an abnormal seasonal pattern of parental conception as the cause of the abnormal birth pattern.


Cigarette smoking among secondary schoolchildren in 1975. Prevalence of respiratory symptoms, knowledge of health hazards, and attitudes to smoking and health. A questionnaire relating to smoking habits, respirator symptoms, and health attitudes was administered to 10 498 secondary schoolchildren in 1975. The results reported in this paper indicate that children who smoke regularly have a higher prevalence of upper respiratory tract infections and a higher incidence of the respiratory symptoms, cough, phlegm production with a cold, and shortness of breath, compared with non-smokers. Children are aware of the risks of lung cancer when smoking, but less aware of the other more immediate health risks, and this is particularly so in the younger age groups. It is suggested that health education should be directed towards younger children and that more use should be made of the fact that smoking clearly makes them less healthy.


An epidemiological study of rheumatic fever and rheumatic heart disease in Lagos. In Lagos 12 755 schoolchildren aged between six and 12 years were screened for evidence of rheumatic heart disease and showed a prevalence rate of 0.03%. Group C (27.7%) and group G (47.3%) predominated in the throat and in cases of pharyngitis, while group A predominated on the skin. Two hundred and sixty-six cases of pharyngitis were recorded, 70 (26.4%) were positive for beta-haemolytic streptococci. Half of the cases of streptococci while 28.2% and 21.1% were caused by groups C and G respectively. A diversity of serotypes of group A streptococci, which included types 49 and 55, and C and G streptococci were isolated from impetiginous skin lesions. The main point of interest is the association of group C and G streptococci with sore throat and skin infections. The pathogenicity of C and G in such circumstances merits further investigation. The present study also showed that prophylactic benzathine penicillin (Penadur) given to patients with rheumatic heart disease or rheumatic fever had been effective with no recurrent attack of acute rheumatic fever.


Variations in the response of sheep to experimental magnesium deficiency. Hypomagnesaemia was induced in adult sheep by changing their diet from chaff given orally to a milk diet, low in Mg, infused via the abomasum. All sheep given the milk diet developed hypomagnesaemia and four out of 19 developed nervous convulsions similar to the natural disease grass tetany. Analysis of the sequential changes in plasma Ca, P and Mg revealed a striking positive correlation between Ca and Mg and hypocalcaemia thus appeared to be a general response to Mg deficiency. Many sheep appeared to adapt to the deficiency since after a period of about 11 days the decline in plasma Mg (and Ca) was either alleviated or reversed. However the four sheep which developed convulsions all showed a rapid and substantial decline in plasma Mg associated with a decline in plasma Ca.


The influence of breed on the susceptibility of sheep of Haemonchus contortus infection in Kenya. The relative resistance of six breeds of sheep to Haemonchus contortus infection was investigated under field conditions on two stations situated in a semi-arid zone in Kenya. As judged by faecal egg counts, monitored throughout a two-year period, it was found that there were consistent differences between the breeds. The breeds studied in order of increasing susceptibility were Red Masai, Blackhead Persian, Merino, Dorper, Corriedale and Hampshire. Post mortem findings confirmed that the differences in faecal egg count were related to the establishment of worms rather than larval inhibition or the suppression of worm egg production. There was also evidence that the Red Masai showed self-cure more frequently than the other breeds.


The influence of haemoglobin phenotype on the susceptibility of sheep to Haemonchus contortus infection in Kenya. Two flocks of Merino sheep were set-stocked on pastures known to be endemic for Haemonchus contortus. Both flocks included sheep with the three common haemoglobin types (HbAA, HbAB, HbBB). The results of regular monitoring over a two-year period showed a clear relationship between haemoglobin types and susceptibility to haemonchosis. The HbAA sheep experienced fewer deaths, had consistently lower egg counts and exhibited a more frequency and effective self-cure than the HbAB or the HbBB types. Post mortem findings demonstrated that this phenomenon was due to differences in the establishment of adult H contortus and not to suppression of egg laying capacity or an alteration of male to female adult worm ratio.


Genital lesions in experimental chronic Trypanosoma brucei infection in rams. Rams inoculated intravenously with Trypanosoma brucei developed scrotal oedema and a nonsuppurative granulomatous periorchitis resulting in testicular degeneration, atrophy, calcification and sclerosis. The tunica vaginalis was the seat of an intense granulomatous inflammation and focal necrosis, which extended to the epididymis and spermatic cord. Lesions in the seminal vesicles were suggestive of diminished testosterone production even though Leydig cells were discernible in the sclerotic testicular intertubular tissue. In areas where there was inflammation or focal necrosis, there was also extravascular localisation of trypanosomes. It is suggested that genital lesions in human sleeping sickness may have a similar pathogenetic mechanism involving tissue localisation of the trypanosomes and associated inflammatory and degenerative changes.


Clinical, virological and serological response of the West African dwarf sheep to experimental infection with different strains of Rift Valley fever virus. West African dwarf sheep were inoculated with three different strains of Rift Valley fever virus (RVFV). Using infective mouse serum as the source of virus classical RVFV disease characterised by sudden onset, a sharp but transient febrile response, viraemia, abortions and the development of specific RVFV antibodies in surviving animals was observed. The severity of clinical response was, however, dependent on the strain of virus used, with animals inoculated with Smithburn's neuroadapted strain showing a milder response than those inoculated with either the Nigerian or Lunyo strain. The inoculation of sheep with RVFV infective mouse brain material of the three different strains resulted in a mild febrile response with low level viraemia. Immune sera from sheep inoculated with both the Nigerian and Smithburn's neurotropic strains did not neutralise the Lunyo virus strain in a mouse intracerebral neutralisation test; the reverse, however, was not the case. The findings indicate that the West African dwarf sheep is highly susceptible to RVFV infection and that previous reports of only a mild clinical response following inoculation with the Nigerian strain were due to infective mouse brain rather than infective mouse serum.


Immunological reactions of Rift Valley fever virus strains from East and West Africa. Three strains of Rift Valley fever virus, namely Nigerian (NIG), Smithburn's neurotropic (SNT), and Lunyo variant (LUN) were compared by complement fixation (CF), neutralisation (N), haemagglutination/haemagglutination-inhibition (HA/HI) and agar gel diffusion (AGD) tests. They showed reciprocal cross-reactivity in CF tests. In N tests, using immune sheep sera, there was reciprocal cross-neutralisation between the NIG and SNT strains, but not with the LUN strain, the antiserum of which neutralised both NIG and SNT antigens whereas the reverse was not the case. When hyperimmune mouse ascitic fluid was employed in N tests, there was cross-reactivity between the three strains. Both the NIG and SNT strains yielded haemagglutinins, but not the LUN strain. Furthermore, by the antibody absorption and AGD techniques, the NIG and SNT strains were found to be identical and distinct from the LUN variant strain. The techniques found most useful in distinguishing between the three strains were HA and AGD. Laboratory neuro-adaptation of the classical pantropic virus did not appear to affect its haemagglutination activity.


Structure of the sheep epidermis.

Structure of the sheep epidermis. The stratum corneum measured on fresh frozen sections was found to be considerably thicker than previously reported. It was uniformly permeated with sebum, which also formed an intact film over the skin surface and it could readily be divided into two zones. The living epidermis was approximately half as thick as the stratum corneum.


Structure of the epidermis in Ayrshire bullocks. The living epidermis and stratum corneum of cattle, when measured on cryostat sections, were both found to be approximately 30 micrometer thick. However, the corneum contained about 30 cell layers, whereas the living epidermis was composed of only four. Histological processing involving fixation, dehydration and paraffin embedding, resulted in the loss of half of the stratum corneum and proved to be unsuitable for study of this layer. Lipid derived mainly from the sebaceous gland was present between the squames in the outer two thirds of the corneum probably in the form of an emulsion with sweat.


Ultrastructural alterations of the myocardium of rats fed rapeseed oils. Ultrastructural studies were conducted on the myocardium of rats fed corn oil, Tower RSO (0 . 88 per cent EA), 1788 RSO (3 . 6 per cent EA) and Target RSO (38 . 9 per cent EA) supplemented diets for 18 weeks. Cardiac myocytes of Tower RSO-fed rats showed some loosening of myofibrils and a slight increase in the number of mitochondria, few of which had lost their cristae. Large intravascular lipid droplets were observed in the myocardium of rats fed the 1788 RSO diet, as well as some small lipid droplets which were seen in close association with mitochondria. There was an apparent increase in the number of mitochondria of both normal and giant size. Many of the mitochondria exhibited distortion of shape and degeneration of cristae. The matrix of megamitochondria contained vesicles and electron-dense floccular inclusions and at times electron-lucent lipid-like material. The degenerative changes of mitochondria were most pronounced in the Target RSO group, where some megamitochondria showed a complete loss of cristae and a replacement of matrix with lipid-like material. These observations suggest that both intravascular lipid globules and the mitochondrial alterations are possible contributory factors involved in the development of cardiac lesions in RSO-fed rats.


Termination of arrested development of the trichostrongyles of sheep in northern Nigeria. Monthly worm counts of groups of ewes and lambs that grazed continuously and tracer lambs revealed that under the conditions existing in northern Nigeria, most of the Haemonchus contortus in sheep between November and March were arrested larvae. During the months of April and May, almost equal proportions of adults, developmental stages and arrested larvae were recovered and, by June, only adults and developmental stages were recovered in high numbers. The proportion of arrested larvae had diminished considerably. A similar pattern was recorded for Trichostrongylus spp, except that fewer larvae were involved in arrested development and very large numbers of adults were recovered throughout the duration of the study. Maturation of arrested larvae occurs in April.


Resistance of chickens to challenge with the virulent Herts 33 strain of Newcastle disease virus induced by prior infection with serologically distinct avian paramyxoviruses. Results indicate that some degree of protection from challenge by Newcastle disease virus (NDV)/Herts 33 was conferred on chickens by prior infection with PMV/turkey/Wisconsin/68, PMV/turkey/Ontario/6661/68, PMV/Netherlands/449/75 and PMV/parakeet/England/39/78 viruses, all of which are serologically related but distinguishable from NDV. Except for one bird which survived challenge three weeks after infection with Robin/Hiddensee/19/75, no protection was seen in chickens infected with other unrelated avian paramyxoviruses. In contrast to infection with NDV-B1, birds protected by infection with avian paramyxoviruses showed large increases in NDV haemagglutination inhibition (HI) titres after challenge. In these birds considerable increases in the homologous HI titres were also seen after challenge.


Field observations on the epidemiology of abomasal parasites in young sheep during winter and spring. A flock of spring born lambs was continuously exposed to natural parasite infection from birth until selected for slaughter in groups of two or three, at monthly intervals throughout winter and spring for abomasal worm counts. Meteorological data were recorded and regular estimates of infective pasture larval availability were made. Parasite population changes and inhibition patterns for Ostertagia spp, Haemonchus contortus and Trichostrongylus axei were recorded. Ostertagia spp were found to survive well both on the pasture and within the host, principally as arrested larvae. H contortus overwintered almost entirely in the host in the inhibited form and T axei overwintered mainly in the host, but in the adult stage.


Evaluation of a live Salmonella choleraesuis vaccine by intranasal challenge. Weaned pigs were immunised with a live attenuated Salmonella choleraesuis vaccine. The protective immunity induced was compared with that of unvaccinated pigs by intranasal challenge with a field strain of S choleraesuis. Of 18 unvaccinated pigs, three died as a result of challenge from S choleraesuis and 10 of the survivors developed chronic lung lesions. None of the vaccinated pigs died as a result of challenge and two only showed macroscopic evidence of salmonellosis on autopsy three weeks after challenge. It was concluded that subcutaneous vaccination of pigs prevented death and clinical illness but did not prevent invasion of tissues following intranasal challenge with S choleraesuis.


Babesia divergens: the immunisation of splenectomised calves during irradiated piroplasms. Groups of three splenectomised calves were inoculated with 1 . 2 x 10(10) Babesia divergens-infected erythrocytes irradiated at 24, 28, 32, 36 and 40 kilorads. Control calves were inoculated with 1 . 2 x 10(7) or 1 . 2 x 10(4) non-irradiated parasites. While control animals all experienced severe reactions, animals receiving blood irradiated at 24, 28 and 32 kilorads had mild reactions and were solidly immune to an homologous challenge of 1 . 1 x 10(4) Babesia-infected erythrocytes. Animals receiving parasites irradiated at 36 and 40 kilorads had limited ability to resist the challenge.


Stressor effects of handling on the immature fowl. Chicks were handled for 5 min twice daily for five consecutive days per week over a three-week period. The control birds were not handled once they had been allotted to their brooders. The growth rate of the treated birds was significantly decreased. There was no adrenal hypertrophy; the concentration, but not the content, of adrenal cholesterol was significantly increased. Plasma glucose, FFA and cholesterol concentrations were similar in the groups at the end of the experiment. The lipolytic response of the handled birds to a further stimulus of handling was significantly greater than that of unhandled birds experiencing novel handling stimulus. There was also a significant decrease in the concentration of corticosterone in the plasma of the handled birds but not in the unhandled group. There was thus no evidence of habituation.


Studies on the ultrastructural morphology of Bacteroides nodosus. The morphology of Bacteroides nodosus was examined with the electron microscope. B nodosus stained with solium phosphotungstate and uranyl acetate possessed fimbriae and in addition organisms negatively stained with sodium phosphotungstate often possessed rings on their surface. Phage-like particles were also observed in negatively stained preparations. In thin sections, B nodosus had a multilayered cell envelope and the type of cell division characteristic of Gram-negative bacteria. The cytoplasmic region contained a diffuse nucleoid area, ribosomes and, sometimes, concentrically arranged membranous lamellae. Fimbriae and capsular material were also seen in sections of B nodosus fixed with glutaraldehyde-osmium. Their visualisation appeared to be enhanced when ruthenium red was incorporated n the glutaraldehyde-osmium fixative but only when sections were stained with heavy metal salts, indicating that the fimbriae and capsule were not predominantly polysaccharide in nature.


Serological studies with the virus of peste des petits ruminants in Nigeria. It was possible to distinguish separate serological responses when experimental goats were inoculated with either rinderpest virus or peste des petits ruminants virus. Examination of field samples established that peste des petits ruminants occur commonly in Nigerian sheep and goats although some villages have escaped recent infection. There was no evidence of infection with rinderpest in these animals.


The blood volumes and erythrokinetics of Ndama and Zebu cattle experimentally infected with Trypanosoma brucei. The responses of susceptible Ndama and Zebu cattle to experimental infection with Trypanosoma brucei were compared using haematological, parasitological and radioisotopic methods. Animals of both breeds became anaemic, but this was more severe in the Zebu cattle, one of which died. Although the prepatent period was the same in animals of both breeds, the levels of the first and subsequent peaks of parasitaemia were higher in the Zebu. The anaemia was due to an accelerated rate of red cell break-down which was more marked in the Zebu cattle. Haemodilution was not a feature. There was no evidence of dyshaemopoiesis but iron reutilisation from degraded erythrocytes was impaired. The greater resistance of the Ndama to T brucei infection could not be attributed to the capacity of this breed to mount a more effective erythropoietic response than the Zebu.


The effects of some surface sampling procedures on the stratum corneum of bovine skin. Clipping and shaving remove cell and lipid layers from the stratum corneum and also modify the effects of subsequent lipid collection and microbiological sampling techniques. The damage to the epidermis caused by solvents indicates that further evaluation of some sebum collection procedures and of the effects of dips and dressings applied to the skin is required.


A note on the transmission of Babesia bovis (syn B argentina) by the one-host tick, Boophilus microplus. Boophilus microplus infected with Babesia bovis were transferred artificially from one splenectomised calf to another during each moult in the parasitic life cycle of the tick. Eggs from the engorged female ticks recovered at the end of the cycle were incubated and the resulting larvae used to infest more splenectomised calves. Babesia bovis was transmitted only by the original larvae used at the commencement of the experiment and it was concluded that the protozoan parasite did not persist in an infective form in the ticks beyond the larval stage.


The period between birth and first suckling in dairy calves. The period between birth and first suckling was recorded for 82 dairy calves. 11 per cent of heifers' calves and 46 per cent of cows' calves had not suckled by 6 h after birth. All calves, whether suckling spontaneously or put to the teat at 6 hr, had adequate 48 h total serum immunoglobulin levels.


The effects of implanting jugular catheters on plasma glucose concentrations in wethers fed two extremes of diet. Although de novo glucose synthesis was 47 per cent higher in wethers fed hay plus barley than in wethers fed hay alone, the plasma glucose concentrations were similar. When two chronic jugular vein catheters were implanted, plasma glucose concentrations rose by 17 per cent and 5 per cent after 4 h in those fed hay alone and hay plus barley respectively. Levels subsided after 24 to 30 h post catheterisation.


Attempts to immunize rats against infection with Fasciola hepatica using in vitro culture antigens from newly excysted metacercariae. Attempts were made to immunise rats against Fasciola hepatica using the culture products obtained from the in vitro cultivation of newly excysted metacercariae. Three culture regimes were chosen: (1) medium NCTC 135 for 48 h (2) NCTC 135 + 20 per cent fetal calf serum (FCS) for 48 h (3) NCTC 135 + 20 per cent FCS for 14 days. The used culture medium from each of these regimes was concentrated, mixed with adjuvant and injected subcutaneously into rats. Similarly treated unused culture media was used in control rats. The rats were challenged with an oral dose of 20 F hepatica metacercariae 35 days later and autopsied 96 days after the start of the experiment. The fluke burdens in those rats which had received the culture antigens did not differ significantly from those in the control groups.


A test for early pregnancy in sheep.

A test for early pregnancy in sheep. The rosette inhibition test has been used to detect an early pregnancy factor (EPF) in the serum of ewes. EPF was shown to be to be present within 72 h of mating and was still detectable after one month of gestation and in some cases after four months' gestation. The detection of EPF could be of value in the diagnosis of pregnancy in the ewe during the first month of gestation.


Some haematological data for the European kestrel (Falco tinnunculus). The mean packed cell volume and haemoglobin concentration of blood samples taken from a colony of captive European kestrels were found to be 45.9 per cent and 17.3 g per cent respectively. No evidence of protozoal parasites was found in smears from 13 birds examined.


Development of individual differences of cardiovascular regulation in the Bailey recombinant inbred mice. Previous research has demonstrated that the cardiovascular system (CVS) is not completely developed in the rat until 20 days of age. Prior to this age the sympathetic nervous system (SNS) is dominant during resting conditions and the stress response is vagally mediated, which is the opposite of most adult rats. In the present research, using the Bailey recombinant inbred strains and their progenitor strains (C57BL/6By and BALB/cBy), we determined the developmental period for the CVS in mice. The CVS was controlled by a high SNS tone and the stress response was vagally mediated at 8 days of age. By 12 days of age, the mice had much slower baseline heart rates which were vagally controlled. Significant strain differences were also found with a polygenic model accounting for these differences. The stress response of the 12-day-old mice was not interpretable because of individual differences in the adult coping strategies. These differences were accounted for by a different polygenic model than was found in the baseline condition.


Genetic analysis of lines selected for wing vibration in Drosophila melanogaster. Selection for the wing vibration component of courtship in the Oregon-R stock of D. melanogaster was practiced for 44 generations. Selection was successful, indicating that there is genetic variation for the trait in the Oregon-R stock. The mean realized heritability of the trait, based on the first 11 generations of selection, was 15%. Biometrical analysis showed that there is some additive genetic variance for the trait with the possibility of some ambidirectional dominance. No maternal effects for the trait were found.


Vascular diseases of the brain.

Vascular diseases of the brain.


Investigations on Trichomonas foetus in vitro.


Identification of dense bodies appearing in Chlorella cultured in a medium with an ammoniacal salt as a source of nitrogen.


A physiological view of the psychology of pain.


Characteristics of the event-related brain potential to noxious thermal stimulation in man.


Evaluation of the complaint of pain.

Evaluation of the complaint of pain.


Aspects of long-term evaluation of pain unit treatment program for patients with chronic intractable benign pain syndrome: treatment outcome.


The team concept in the management of pain in patients with cancer.


A taxonomy for diagnosis and information storage for patients with chronic pain.


Magnitude estimation and neurophysiological correlates.


Example of assisted mechanical ventilation in obstructive syndrome of UIRC.


Electrocardiographic changes during the chronic respiratory insufficiency.


Sacrococcygeal teratomas.

Sacrococcygeal teratomas.


Sources of 17 alpha-hydroxypregnenolone and its sulfate in human pregnancy.


Reduction of testosterone to 5 alpha-dihydrotestosterone by human and rat uterine tissues. Incubations of adult rat uterine tissue and human endometrial and myometrial homogenates with [1,2,6,7-3H]testosterone resulted in the formation of 5 alpha-[3H]dihydrotestosterone. The rat uterine homogenates showed higher activity than the minced tissue. The activity in human tissue was found to be less than rat tissue on a per unit weight basis. The human endometrium has been found to possess significantly higher activity than myometrium. These results support the hypothesis that androgens may exert their effect on uterus via 5 alpha-reduced metabolites.


Studies on the membrane-associated nature of human thyroid peroxidase: a difference in the solubility of the enzyme from benign and malignant thyroid tissues.


Thyroid hormone and thyrotropin levels in patients placed on colestipol hydrochloride. Bile acid sequestrant resins can bind T4 in vitro and in the gut. Therefore, the effect of colestipol HCl on thyroid function was studied prospectively in 17 subjects with type II hyperlipoproteinemia. Serum T4, T3, T3 resin uptake, and TSH levels were measured before and during therapy. No change in T4 levels and only small transient, but significant, decreases in T3 were noted in a minority of patients; TSH levels did not change. Small increases in T3 resin uptake were noted. We conclude that no major alterations in thyroid function occurred with colestipol therapy.


LATS-protector activity in thyrotoxicosis measured by thyroidal intracellular colloid droplet formation. A modified assay method of LATS and LATS protector (LATSP) was devised employing murine thyroidal intracellular colloid droplet formation. This method is 4- to 8-fold more sensitive to stimulators than is the regular McKenzie bioassay. For the assay of LATSP, IgG to be tested was incubated with human thyroid homogenate, then LATS-IgG was added and it was further incubated. The potency of LATS in the mixture was assayed. The adequacy of the present method for the assay of LATSP was supported by the facts that the LATSP activity was roughly related to the dose of IgG tested and that the inactivation of LATSP was observed when the IgG was pretreated with human thyroid particulate fraction and then assayed. With this method, 7 out of 32 patients with thyrotoxicosis showed LATS and 18 showed LATSP. Changes in LATSP were followed up in 7 cases out of the 18. LATSP activity decreased and then disappeared in 6 out of the 7 cases, when they had been euthyroid for a certain period of time. At 12-20 months after the treatment either by thionamide medication or by subtotal thyroidectomy. LATSP and 131I-thyroid uptake were measured in these 6 patients. In all of the 6, LATSP was negative regardless of thyroid suppressibility.


Some aspects of bovine ova culture in vitro.


A new anoplocephaline cestode, Anoplocephaloides romerolagi sp. n. parasitic in the volcano rabbit, Romerolagus diazi.


Recovery of unfertilized ova from slaughtered cattle.


A study on the antemortem detection of PSE muscle in pigs by a halothane test, plasma creatine phosphokinase activities and blood lactate values.


Dietary myo-inositol intake and peripheral nerve function in diabetic neuropathy.


Gas chromatographic simple method for determining alcohol in blood.


The significance of anatomic dead space as a cause of variability of maximal expiratory flow volume curves.


Fluctuating changes in specific gravity, water content and osmotic fragility of incubated erythrocytes.


The effects of heavy metal ions on osmotic resistance of human red blood cells.


Osmotic fragility of red blood cells in lead administered rabbits by the use of coil planet centrifuge.


Gas chromatographic determination of local anesthetics in blood.


An investigation of tactile hyperacuity.


Variation of cold sensitivity over the body surface.


The effect of skin temperature on the perception of roughness.


Psychophysical evidence for a triplex system of cutaneous mechanoreception.


Neural effects of electrical taste stimuli.


Utility of the vector model for higher-order mixtures: a correction.


Formalizing Grassman's laws in a generalized colorimetry.


Responses to injury--past research and future plans.


Osteoarthritis, aetiology and surgical treatment.


Coagulation and fibrinolysis in multiple trauma after early heparinizing. In 27 multiple trauma patients receiving standard shock management and intensive care, coagulation and fibrinolysis were investigated after early heparinization. The general coagulation tests did not imply any impaired clotting function. Platelets and factors I, II, and V decreased without induction of hypocoagulability. There was considerable decrease in plasminogen, whereas FDP ranged within normal; thus, a hyperplasminemia can be excluded. Antithrombin III remained within normal range; even in nonsurvivors there was no depletion, although their antithrombin III activity was significantly lower. In comparison to 50 trauma patients - a comparable group with regard to trauma patterns, shock management, and intensive care - there were no significant differences in volume requirements or mortality rate. Whether early heparinization is effective in preventing disseminated intravascular coagulation (DIC) related organ failure remains to be seen.


Annual oration on recent advances in the law relating to medicine.


Impairment of reticuloendothelial system function with sepsis and its improvement with ATP-MgCl2 plus glucose administration. Peritonitis in rats was produced by cecal ligation and puncture. Sixteen hours following cecal ligation and puncture, the gangrenous cecum was removed and the animals received either 4 ml saline (nontreated), 0.75 ATP-MgCl2 (100 mumoles ATP plus 50 mumoles MgCl2), and 2.0 ml of 50% glucose or 2.0 ml of 50% mannitol and 1.25 ml saline. Two hours after the removal of the cecum, RES function was evaluated by measuring the intravascular clearance of a 131 I triolein-labeled gelatinized test lipid emulsion. The intravascular half-time (t1/2) in the nontreated animals was double that of sham-operated animals, suggesting that significant depression in RES function occurred during sepsis. Administration of ATP-MgCl2 plus glucose following sepsis resulted in t1/2 values similar to those of sham-operated animals, indicating that the impairment of pagocytic activity of the RES was reversed with treatment. The beneficial effect of treatment following sepsis does not appear to be due to hypertonicity, since administration of 50% mannitol failed to decrease the t1/2. The precise mechanism of the beneficial effect of ATP-MgCl2 + glucose on restoration of RES function is not known.


Infant death.

Infant death.


Gram-negative sepsis in thermally injured sheep. Burn wound sepsis was studied for four days in awake, unanesthetized sheep. Each of the animals was given a 40% third-degree burn, and the wound was infected with Pseudomonas aeruginosa. According to their cardiopulmonary response, the animals were divided into three groups: hyperdynamic, normodynamic, and hypodynamic. The hyperdynamic group had an increased cardiac index and a decreased total peripheral resistance index. The hypodynamic group was characterized by the following: decreased cardiac index, increased total peripheral resistance index, increased hematocrit, decreased PaO2, increased pulmonary vascular resistance index, and decreased neutrophils (P less than or equal to 0.05). The hypodynamic group was inoculated with more P aeruginosa, had more positive cultures for P aeruginosa, and had a greater mortality rate than the other two groups. It is suggested that the hypodynamic group was hypovolemic as a result of a fluid shift from the vascular compartment, that this fluid shift may be important in preventing the animals from responding to sepsis with an elevated cardiac index, and that the derivation of the cardiovascular response to sepsis is related to the severity of the initial septic insult.


Angina--a medical or surgical problem?

Angina--a medical or surgical problem?


Early cardiorespiratory prognostic patterns in multiple trauma patients. Hemodynamic parameters were monitored for one week ( in greatest detail during the first 24 hours) in 50 severely injured people who had been admitted to the hospital for treatment within one hour after the accident and, as judged by the type of injury, had probably lost more than 1 1/2 liters of blood. The estimations included not only blood pressure, heart rate (HR) and shock index but also the cardiac index (CI), pulmonary arterial pressure (PAP), pulmonary capillary pressure (PCP), and parameters of oxygen transport were determined with the aid of Swan-Ganz catheters, CI, SI, and left ventricular stroke work index (LVSWI) were decreased, PAP, total pulmonary resistance (TPR), and total systemic resistance (TSR), were increased from the very beginning in the nonsurviving group, with a high prediction of vital outcome. The Swan-Ganz catheter is valuable in such cases in obtaining early prognostic evaluation and in controlling therapy - ie, volume replacement, vasodilation, and adrenergic therapy.


Evaluation of glucocorticoids during resuscitation of injured patients. This study evaluates the effects of 30 mg/kg methylprednisolone (MP) administered to eight trauma patient over a 30-minute period during initial resuscitation. Vascular pressures, cardiac index (CI), left ventricular stroke work index (LVSWI), systemic (SVR) and pulmonary (PVR) vascular resistance, oxygen delivery (OD), oxygen consumption (VO2), physiological shunt (shunt), limb blood flow (LBF), limb-oxygen delivery (LOD), and limb oxygen consumption (VLO2) were calculated at control and 1, 2, 4 and 6 hours following MP administration. At 1 hour there was an increase in CI from 2.9 +/- 0.3 to 3.5 +/- 0.3 liters/min/m2 (P less than 0.01), in OD from 961 +/- 172 to 11067 +/- 148 ml/min (P less than 0.05), in VO2 from 178 +/- 16 to 220 +/- 16 ml/min (P less than 0.01), in shunt from 25 +/- 3% to 33 +/- 3% (P less than 0.05), and a decrease in SVR from 1187 +/- 98 to 1945 +/- 87, and in PVR form 222 +/- 22 to 178 +/- 18 dyne sec/cm5 (P less than 0.05). These values returned to control by 4 hours. In spite of a pulmonary wedge pressure (PWP) that did not increase form a control of 5 +/- 2 mm Hg, and a mean arterial blood pressure (MABP) that did not decrease from a control of 86 +/- 5 mm Hg, LVSWI increased significantly at 1 hour (P less than 0.01). LBF, LOD, and VLO2 decreased at 1 hour (P less than 0.05). Since increased cardiac output was associated with increased stroke volume and left ventricular stroke work index, but without an increase in preload (PWP) or a decrease in afterload (MABP), methylprednisolone(MP), in pharmacologic dosage appears to have a positive inotropic effect on the myocardium of trauma patients during resuscitation.


An affinity method for the rapid purification of opsonic alpha 2 SB glycoprotein from serum.


Effect of reticuloendothelial blockade on the development of hypotension after trauma, sepsis, and intravascular coagulation. Numerous studies have demonstrated that reticuloendothelial system (RES) depression induced by colloid blockade increases susceptibility to circulatory shock following trauma and sepsis. Recent data have suggested that this may relate to the failure of the RES to clear potentially embolic material derived from activation of the hemostatic system. The present study thus compared the hypotensive response precipitated by trauma or sepsis with that resulting from induction of intravascular coagulation. Mean arterial blood pressure (MABP) was monitored for 120 minutes after sublethal NCD trauma and after intra-aortic injection of live E coli (approximately 10(10) organisms per rat), E coli endotoxin (0.1 mg/100 gm), or bovine thrombin (10 units/100 gm) in 400-500 gm rats 30 minutes after RE blockade (50 mg/100 gm gelatinized lipid colloid) or saline injection. All rats were anesthetized with sodium pentobarbital. No hypotension was observed in blockaded control rats. After trauma, MABP decreased by 20 minutes after injury and recovered to normal levels by 1 hour post-trauma. MABP decreased in blockaded rats after trauma and remained diminished through 2 hours. After live E coli endotoxin or thrombin, both the normal and the blockaded groups underwent an initial hypotension of similar magnitude. A second period of hypotension was much more pronounced in the RE-blockaded animals. Reduced MABP persisted in these animals through 2 hours. These data indicate that RE blockade enhances the hypotensive response to intravascular coagulation and that resulting from trauma or sepsis. This effect was especially apparent during the second phase of hypotension during sepsis and intravascular coagulation. It was suggested that the RES manifests some protective effect against the agents inducing this secondary hypotensive response.


Lymph node scanning for breast cancer.

Lymph node scanning for breast cancer.


The whole body scanner's indispensable role in the management of cancer.