The effect of intrauterine progesterone on the DNA-content in isolated human endometrial cells. The effect of an intrauterine progesterone-releasing device on the DNA-content in human endometrial cells has been studied by means of a microfluorometric method. Following six of seven months' use of the progesterone-releasing device a significant decrease in the mean DNA-content per cell nucleus was found in the epithelial cells indicating a suppression of the proliferative activity of the endometrium. The mean DNA-values of the endometrial cells remained at a low level throughout the cycles in spite of circulating levels of steroids indicating a normal ovarian function. It is suggested that the progesterone released in utero interferes with the DNA-synthesis of the epithelial cells, which may result in a disturbed metabolic function of the endometrium at the time of implantation. Several methods of intrauterine administration of various progestins have been developed.  A low pregnancy rate has been achieved after 12 months of use and the cyclic ovarian function has been maintained.  Removal for pain and bleeding has been the same as with the copper T device.  A suppression of endometrial growth has been reported and an intense inflammatory reaction has been observed.  In this study an intrauterine medicated device containing 38 mg of progesterone which was released at a rate of 65 mcg/day for 1 year was used.  Subjects were 9 women, aged 25-30 years, of proven fertility.  Endometrial material was obtained on Cycle Days 7-11 and 21-25 in 2 consecutive cycles before insertion of the devices and on the same cycle days in the 2nd-3rd and 6th-7th cycles with the devices in place.  6 of the 9 subjects were fitted with the progesterone device and 3 with a plain T device.  Endometrial cell smears were subjected to a fluorometric method for quantitative estimation of DNA per cell nucleus.  Only epithelial cells were analyzed.  Values were expressed in units of the BAO-fluorescence of 50 cell nuclei per sample.  The variation between observation periods was due to a significant decrease in the mean BAO-DNA content per cell nucleus (p less than .01).  At 1st, histological examination was normal.  However, after 6-7 cycles with the progesterone-releasing IUD in place, an atrophy was observed in the glandular epithelium.  Photographic reproductions illustrate the histology observed.  Circulating levels of steroids were unchanged indicating normal ovarian function.  It is suggested that the progesterone released in utero interfered with the DNA sythesis of the endometrial cells and resulted in a disturbed metabolism preventing implantation.


Hemodynamic response to different anesthetics during open-heart surgery.


Observations on the morphology at the transition between the peripheral and the central nervous system in the cat. II. General organization of the transitional region in S1 dorsal rootlets. The aproximal segment of feline S1 dorsal rootlets were investigated light and electronmicroscopically. A one shaped protrusion of CNS tissue was found to extend distally into each rootlet for a distance of 100-1000 micrometer. That free segment of a rootlet which when cross sectioned revealed both CNS and PNS constituents was denoted the transitional region (TR). The TR was subdivided into an axial CNS compartment and a surrounding PNS compartment. The CNS compartment consisted of a core zone that showed the organisation of a CNS fiber tract, and of an outer astrocytic mantle zone which corresponded to the external glial limiting membrane of the brain and the spinal cord. The outer aspect of the mantle zone constituted the PNS-CNS borderline. The mantle zone was rich in astrocytes and projected a large number of thin processes--the glial fringe--distally into the endoneural space of the PNS compartment. There were large fenestration defects in the basement membrane that demarcated the endoneural space from the glial space. The mantle zone contained many large myelinoid bodies and some encapsulated small dark unclassified cells. Similar cells, some covered by a basement membrane, were at hand in the adjacent endoneural space. The myelinated nerve fibres were equipped with a node of Ranvier at their borderline passage.


Routine use of flow-through photometric prescreening in the detection of cervical carcinoma.


An analysis technique for biological shape-II. A discrete function representing the curvature of closed contours has been derived. The function is easily computable and has properties desirable for use in shape analysis. Two curvature measures (as well as the traditional P2A) have then been applied to a set of shapes extracted from leukocyte nuclei in order to evaluate their effectiveness as numeric descriptors of shape complexity. Bending energy, (BEN), was shown to be, on the average, the most sensitive indicator of complex shape, normalized mean absolute curvature (NMAC) was next, and P2A was last. Bending energy could also have important biolgical significance due to its possible relation to developmental processes. Further studies on bending energy will be necessary in order to substantiate this possibility. Many of the discrepancies between P2A, NMAC, BEN, and the study subjects are explainable by the lack of "syntactic", or form, information used by the computer features. If an observer really classifies an object by decomposing it into simpler pieces, then a more sophisticated shape analysis procedure must be used. Such a procedure will be described in a sequel to this paper.


Observations on the morphology at the transition between the peripheral and the central nervous system in the cat. IV. Unmyelinated fibres in S1 dorsal rootlets. Unmyelinated (d.r.C) fibres have been investigated electronmicroscopically at their passage from the peripheral to the central nervous system in feline S1 dorsal rootlets. The earlier demonstrated rearrangement of C-fibres during their passage along the transitional region (TR) was confirmed by the observation of extensive fibre divergence. The transitional region Schwann cells was calculated to be 10-20 times as high in the TR as in the more distal parts of the rootlets. Analysis of consecutive ultra-thin sections showed that PNS unmyelinated axons 0.8 micrometer or more acquired a myelin sheath as they entered the CNS. Fibres 0.6-0.8 micrometer in diameter appeared to be segmentally myelinated in the CNS. Fibres less than 0.6 micrometer remained unmyelinated at their CNS entrance. A few fibres showed degenerative signs and terminated in the transitional region.


Observations on the morphology at the transition between the peripheral and the central nervous system in the cat. III. Myelinated fibres in S1 dorsal rootlets. Myelinated nerve fibres were analysed at their passage of the PNS-CNS borderline in the transitional region (TR) of feline S1 dorsal rootlets by means of light and electron microscopy. At the borderline, PNS internodal length was 30% shorter than noted further distally in the root. Analysis of variance based on the numerical estimation of various fibre parameters did not support the current idea that a myelinated nerve fibre decreases in diameter as it passes from the PNS into the CNS. There was a rough rectilinear correlation between axon size and number of myelin lamellae in small and medium sized fibres. In large fibres the number of myelin lamellae was highly variable and could not be predicated from axon size. The nodes of Ranvier found at the borderline showed an organization that could be described as a compound node where the PNS-CNS demarcation line runs across the nodal axon segment in the midst of the node gap. Branching at the borderline nodes was a very rare phenomenon. The length of the nodal axon segment, the nodal axon membrane area and the amount of paranodal mitochondria were similar to earlier presented data of feline ventral root fibres. The hypothesis that the elements of the paranodal apparatus of PNS fibres compensates for the lack in the PNS of nodally connected astrocytes is presented and discussed. A small number of the fibres lacked a borderline node. In these cases the CNS myelin sheath projected uninterrupted for hundreds of micrometer into the PNS compartment where it was enclosed by a Schwann cell and PNS myelin. This rare arrangement was referred to as a transitional internode.


Primary gastric lymphoplasmacytoid malignant lymphoma (gastric plasmacytoma): an endoscopic cytologic diagnosis. A case of primary gastric plasmacytoma in which diagnosis was made preoperatively by an endoscopic technique is presented. Exfoliative cytology using a brush under direct visual control enabled the case to be classified as lymphoplasmacytoid malignant lymphoma. Data which favor the diagnosis of plasmacytoma are: 1) plasma cells in various stages of maturation, 2) abnormal plasma cells often in mitotic division, 3) the presence of atypical immunoblasts.


Psychiatric services and mental illness in Iceland. Incidence study (1966-1967) with 6-7 year follow-up.


Exercise tests in individuals with borderline glucose tolerance and varying smoking habits.


Plethysmographic studies in individuals with borderline glucose tolerance and varying smoking habits.


Exercise tests in male diabetics. A nine years' follow-up study with special reference to ECG changes and cardiovascular morbidity.


Tetany and renal failure prior to chemotherapy in acute lymphocytic leukemia.


Diaphragmatic energy expenditure in chronic respiratory failure. The effect of assisted ventilation with body respirators.


Tweed triangle and soft-tissue consideration of Japanese with normal occlusion and good facial profile. A total of thirty-six Japanese adult subjects (consisting of eighteen men and eighteen women) with normal occlusion and harmonious facial features were subjected to cephalographic examination for the purpose of studying their soft tissues. Out of this group, twenty were selected and compared with twenty Class II, Division 1 and twenty Class III patients for the purpose of establishing an appropriate diagnostic guide for the Tweed triangle. These are our conclusions: 1. The Z angle of the Japanese subjects with normal occlusion was 69.70 degrees for the men and 71.75 degrees for the women. There is no significant difference between the sexes. 2. Although there are no significant differences between the sexes for the integumental and total chins, there is slight sexual difference for the upper lip measurement. 3. As compared to the subjects with normal occlusion, there is a significant difference for the Z angle of Class II, Division 1 and Class III patients. 4. In this study, the measurements of the Tweed triangle were FMA 27.28 degrees, IMPA 95.50 degrees, and FMIA 57.22 degrees. On the basis of this study and the reports of other Japanese investigators, we would like to suggest an FMIA of 57 degrees as being the most suitable basis for the diagnosis of Japanese patients, but this should be modified according to the FMA value.


Vertical proportions: a guide for prognosis and treatment in anterior open-bite. 1. Most open-bites are deficient in growth of the upper face and in growth of the posterior face. However, some varieties  have adequate posterior face height. A compensatory increase in lower anterior face height occurs in both types. 2. The ratio of upper anterior face height to lower anterior face height (UAFH/LAFH) is suggested as an aid in determining the prognosis for the orthodontic correction of anterior open-bite. 3. The treatments of eight patients were presented to illustrate this concept. The results were critically analyzed. 4. The validity of this index can be determined only after prolonged use by many orthodontists.


Treatment of anterior skeletal open-bite deformity. Two patients with severe skeletal anterior open-bite have been presented. Treatment of these patients was accomplished mainly by mandibular repositioning (Case 1 by orthodontic means and Case 2 by a combination of surgery and orthodontics) and by an orthodontic change in the mandibular occlusal plane. A review and a discussion of the cause of this deformity were presented.


Soft-tissue profile changes in class II treatment.


Severe mandibular retrognathism: orthodontic versus surgical orthodontic treatment. 1. Treatment of Class II, Division 1 malocclusions should be accomplished by normalization of the abnormal structures that are identified diagnostically. 2. In the presence of mandibular retrognathism and unfavorable growth potential (limited amount, undesirable direction), surgical mandibular lengthening should be incorporated into the treatment plan. 3. Compensation for mandibular retrognathism by conventional orthodontic and facial orthopedic treatment incurs the risk of (a) increase in nasolabial angle, (b) reduction in upper lip support, (c) increase in lower facial concavity, (d) excessive proclination of lower incisors with compromise of labial periodontal support, and (e) protracted duration of appliance therapy and accompanying detrimental periodontal and root resorption effects.


Tooth-size discrepancy in mandibular prognathism. A Bolton analysis of seventy-eight cases of Angle Class III malocclusion, twenty-six cases of Angle Class I malocclusion, and twenty-six cases of Angle Class II malocclusion was recorded. Frequency of excess mandibular tooth structure, magnitude of the excess, over-all ratios, and anterior segment ratios were computed and analyzed. Two clinical cases were presented to show the advantage of tooth-size harmony in mandibular prognathism.  Analysis of the data as presented above suggests the following conclusions: 1. The frequency of mandibular tooth-size excess (over-all ratio) in this sample was greater in cases of mandibular prognathism than in Angle Class I and Angle Class II cases. 2. In those cases with mandibular tooth-size excess, there was a suggestion that the magnitude of the excess was greater in cases of mandibular prognathism than in Angle Class I and Angle Class II cases. 3. A tooth-size discrepancy analysis should be included as one part of the diagnostic records for mandibular prognathism.


Indexing occlusions for dental public health programs.


Psychological timing of orthodontic treatment. A questionnaire type of study was undertaken to test the hypothesis that prepubescent patients are more cooperative than adolescents. Older children were held to be psychologically resistant to the demands of orthodontic treatment because of their involvement in Oedipal conflicts, a normal but distracting aspect of "growing up". Our observers found that patients under 12 were more cooperative than other age groups in the wearing of headgear and other removable devices. They were less cooperative in keeping appointments or in protecting appliances from breakage. The differences were significant at the 5 per cent level of confidence. If responders' observations are an accurate index of true performance, the study suggests that, from a psychological standpoint, activator and headgear treatment should be begun sometime after age 6 and soon enough to be completed before the onset of puberty.


AAO revises policy statement on dental care programs.


AAO House sets new standards and reaffirms old policies.


Lawrence B. Gilling (1896-1976).

Lawrence B. Gilling (1896-1976).


Hemoglobin E and glucose-6-phosphate deficiency in the Khmer Air Force (Cambodia). This study was designed to investigate the use of primaquine in malaria control in the Khmer Republic (Cambodia). Blood was drawn from 106 male Khmer Air Force troops for analysis of hemoglobin E and glucose-6-phosphate (G-6-PD) deficiency. A test group of 15 men with G-6-PD deficiency and a group of 31 normal controls were given 15 mg of primaquine each morning for 14 days. The patients were followed for hemoglobinuria and changes in hematocrit. Primaquine induced a significant, but not a dangerous, hemolysis in G-6pD-deficient Khmer troops. The G-6-PD deficiency seen in Khmer Air Force subjects was G-6-PD Mahidol. Statistically, G-6-PD Mahidol was linked to hemoglobin E.


Hepatotoxicity of combination chemotherapy for acute myelocytic leukemia.


Cutaneous infarction. Manifestation of disseminated mucormycosis. We describe the second reported case of cutaneous infarction as a manifestation of disseminated mucormycosis. The lesion, which closely resembled ecthyma gangrenosum, occurred in a leukemic patient who was on a regimen of broad-spectrum antibiotics. In this case as in the only other reported case, Mucor pusillus was the cause.


Surgical diseases of the mandible. The principles of diagnosis and treatment. Several unusual abnormalities are presented in this abstract of a lecture on surgical diseases of the mandible. The importance of physical signs in clinical dental surgery is emphasized. A protocol of treatment of mandibular condylar hyperplasia and masseteric hypertrophy is suggested.


A review of the structure and function of the gingival seal. The results of previous studies on the gingival seal at the level of the light microscope have now been correlated with studies conducted on the electron microscope. This paper attempts to correlate the findings at the two different levels and to clarify the functional role of the gingival seal.


A prevention orientated patient management programme for a dental hospital. A patient management programme with a marked emphasis on prevention of dental disease through plaque control has been commenced in the Royal Adelaide Hospital Dental Department, and its benefits will be closely examined over two years.


Ron T phenomenon: a time for re-appraisal.


The effect of verapamil on experimental myocardial ischaemia with a particular reference to regional myocardial blood flow and metabolism. The effects of verapamil on epicardial ST segment elevation, regional myocardial metabolism and collateral blood flow were studied in open-chest anesthetized dogs following left anterior descending coronary artery occlusion. Collateral blood flow was measured by radioactive microspheres (15 +/- 5 micron diameter) and regional metabolism was studied by measuring lactate concentration in venous blood draining the infarcting myocardium. Verapamil (0-2 mg/kg intravenously) produced a significant reduction (50-60%) in the epicardial ST elevation when it was given before coronary occlusion; when administered 15 minutes after coronary occlusion and infusion continued for two hours, it minimized (30-40%) ST segment elevation, and prevented the fall in cardiac index and rise in systemic resistance found in the untreated animals in which the ST segment remained persistently elevated. Changes in epicardial ST segment occurred without alterations in the QRS duration. Verapamil had no effect on either the total collateral blood flow or the relative distribution of flow to the endocardial and epicardial halves of the ischemic ventricular myocardium. No significant differences were found between the levels of lactate in blood sampled from small epicardial veins at the center of the infarct when the control animals were compared with those treated with verapamil.


Recent insights into paroxysmal supraventricular tachycardia--an integrated approach to diagnosis and therapy. Paroxysmal supraventricular tachycardia may result from re-entrance in the AV node, the normal A-V pathway with an accessory AV connection, in the sino-atrial node, in the atria, or else reflect ectopic impulse formation in a spontaneously automatic supraventricular focus. Electrocardiographic criteria which are helpful in differentiating these mechanisms involve an analysis of cycle length, changes in cycle length with intermittent bundle branch block, P wave morphology and the relationship of P wave to QRS complex, P-R interval, the presence of A-V block during tachycardia and the influence of autonomic tone on the tachycardia. Electrophysiologic studies further elucidate mechanism by demonstrating the mode of induction and termination of the tachycardia, the characteristics of antegrade and retrograde A-V conduction curves and refractory periods, atrial activation sequence of echo beats and the influence of premature beats introduced during tachycardia. These features are summarised in Table 1. Therapy can be accurately planned according to the results of experimental administration of antiarrhythmic agents and of pacing sequences upon induction and termination of tachycardia in the catheterisation laboratory.


The use of clonidine by intramuscular injection in the treatment of hypertension. Clonidine (Catapres) administered intramuscularly in a dose of 150 microng produced a satisfactory reduction in blood pressure in 13 of 16 hypertensive patients. Its effect occurred within five minutes, was maximal at 75 minutes and persisted for five hours. In six patients who received two doses (150 microng and 300 microng), the response was shown to be dose-related. No serious side effects were noted. Intramuscular administration of clonidine thus appears to be safe and effective. It has a place in the management of uncontrolled hypertension when a rapid reduction in blood pressure is undesirable and in the maintenance of blood pressure control when oral therapy cannot be tolerated.


Blood lipids and lipoproteins in a rural New Zealand population. Plasma cholesterol and triglycerides have been measured in 1202 residents of Milton, a rural town in New Zealand. Cholesterol and triglyceride concentrations in the serum lipoprotein classes of a random subgroup of the population are also reported. Mean plasma triglycerides and very low density lipoprotein (VLDL) cholesterol and triglyceride concentrations were higher for men, but mean high density lipoprotein (HDL) cholesterol concentration was higher in women. Urban-rural differences in plasma cholesterol are suggested since mean plasma cholesterol concentration in men reached a maximum in the 50-59 decade in the rural town (Milton) but the maximum for a nearby urban community was in the 40-49 decade. An evaluation of hyperlipidaemia by using arbitrary cut-off values for plasma cholesterol and triglyceride concentrations showed a prevalence of hypertriglyceridaemia in men, resulting in approximately three times as many men as women in some of the categories of hyperlipidaemia. Further, 26% of the 35-59 age group in the population had lipid risk factors for coronary heart disease.


Lack of relationship between viruses and human diabetes mellitus. Antibodies titres against Coxsackie-B (CB) and mumps virus (MV) were determined in 180 normal subjects and two groups of diabetics, 236 with diabetes of recent onset (DRO) and 108 with diabetes of long duration (DLD). Positive antibody titres to these viruses were found more frequently in controls than in diabetics. In fact, the percentage of positive titres was significantly less than in controls in several instances particularly in juvenile onset diabetes of long duration. These data suggest that CB and MV are not causally related to human diabetes mellitus.


An Auckland high school health survey.

An Auckland high school health survey. To assess the importance of racial and socio-economic factors on the health of teenagers attending an Auckland High School a full clinical examination was conducted. The socio-economic status of the four major racial groups, European, Maori, Pacific Island Polynesian and Asian was relatively constant and predominantly from Social Classes 4 and 5. The pattern of health in each group was not significantly different between races with the exception of a high incidence of scabies and impetigo among the Maori and Pacific Island Polynesians. These skin infections were possibly related to a significant degree of overcrowding that was found in this group where 21 to 29% of the families had five or more children under 15 years of age in the one house. Dental caries was commoner among Maori teenagers. These findings are in accord with the hypothesis that health differences between races are a reflection of socio-economic factors rather than due to any intrinsic differences in susceptibility to disease.


Plasma disappearance of intravenously injected radiolabelled glycocholic acid in patients with liver disease. The plasma disappearance of an intravenously injected tracer dose of glycocholic acid (glycine-1-14C) was compared in patients with and without diffuse hepatocellular disease. No difference was found between the two groups of patients. We conclude that this test is not a sensitive index of the presence of significant liver disease.


Cholesterol and phospholipid: influence of body weight on the output of lipids in mesenteric lymph. In ageing humans there is accumulation of cholesterol in adipose tissue, muscle and other organs. In human obesity increased synthesis of cholesterol has been demonstrated. In order to ascertain possible endogenous sources of lipids, the output of cholesterol, phospholipid and triglyceride from the bile and small intestine was studied in rats in relationship to body weight. The output of lipid in mesenteric lymph showed an almost two-fold increase in the heaviest rats. Small intestinal concentrations of phospholipid and unesterified cholesterol rose significantly with increase of body weight. Output of cholesterol and phospholipid in bile was found to be related to body weight and total bile salt output. The increased lipid content of mesenteric lymph may reflect lipid synthesis in the small intestine, as well as increased absorption from biliary sources, and contribute to cholesterol accumulation in obese rats. Although these are major differences between human and rat cholesterol metabolism, the intestine is a major source of endogenous cholesterol in both species, and could be part of the source of the additional cholesterol load in obese humans.


Insulin aggravated postural hypotension. In a 76-year-old diabetic with symptomatic postural hypotension during the mornings, this was greatly improved by changing his time of insulin administration from 7.30 a.m. to 11.30 a.m.


A case of myxoedema coma successfully treated by low dose oral triiodothyronine. Myxoedema coma is fortunately rare and is probably rarer in a warm climate such as Australia. It carries a high mortality rate. Its correct management is still a controversial issue. A case of severe myxoedema coma who was successfully treated is described. Thyroid hormone was replaced in the form of triiodothyronine given orally in doses of 20-40 microng/day. There was an improvement in body temperature within six hours of the first dose; this was accompanied by a brisk fall in serum CPK and cholesterol with a rapid rise of plasma T3 into the euthyroid range. There was a defect in water excretion which was rapidly reversed as renal function returned to normal. Review of the literature suggests that low dose oral therapy with T3 is a satisfactory form of initial management.


Non-significance.

Non-significance.


The treatment of malignant pericardial effusion in carcinoma of the breast. In three patients with metastatic carcinoma of the breast, control of a malignant pericardial effusion was achieved with a single pericardiocentesis followed by intensive systemic combination chemotherapy. No patient required reaspiration or any other form of local treatment. A trial of this conservative initial approach is therefore recommended in patients with pericardial effusions due to breast carcinoma. Its use in those with other tumours likely to be sensitive to systemic chemotherapy warrants further evaluation.


Non-significance: reply.

Non-significance: reply.


Evaluation of medical education: as developed in the "curso de actualización médica".


Comparative study of Amikacin (BB-K8) and gentamicin activity in vitro against Proteus rettgeri.


Artificial insemination donor.

Artificial insemination donor.


Conservative treatment of splenic injuries in children.


Presidential address.

Presidential address.


The effect of approximal carious lesions on the periodontium.


The immune system and its disorders in man.


Report of the court committee on child health services.


Valedictory address.

Valedictory address.


Control of practice expenditure.

Control of practice expenditure.


Same music, different words.

Same music, different words.


Education of dental technicians.

Education of dental technicians.


Occlusion and restorative dentistry.

Occlusion and restorative dentistry.


Fainting in the dental surgery.

Fainting in the dental surgery.


Vaccinia of the lip.

Vaccinia of the lip.


Dental care for elderly patients.

Dental care for elderly patients.


Complementary records of treatment for school children in the community and general dental services.


Community clinical trials.

Community clinical trials.


Three years of clinical caries prevention for cleft palate children.


Dietary erosion of adult dentine and enamel. Protection with a fluoride toothpaste.


Obesity.

Obesity.


Biomedical research in dentistry. Joint statement from Health Departments and Medical Research Council.


Professional responsibility.

Professional responsibility.


Small animal ventilation using a co-axial circuit. A method is presented for the ventilation of small animals using standard adult anaesthetic equipment.


The Philadelphia chromosome (Ph1) in adults presenting with acute leukaemia: a comparison of Ph1+ and Ph1-patients. To evaluate the frequency and clinical significance of the Philadelphia chromosome (Ph1) in adult acute leukaemia, bone marrow chromosomes were studied in 15 adults with acute lymphocytic leukaemia (ALL) and 55 with acute nonlymphocytic leukaemia (ANLL). Morphology, clinical findings, therapeutic response and survival were compared in patients with and without the Ph1. The Ph1 was found in six newly diagnosed adults presenting with ALL. Adults with Ph1+ ALL differed from those with Ph1-ALL in being older, in having more frequent lymphadenopathy and splenomegaly and in demonstrating higher initial leucocyte counts and more peripheral blasts. Complete remissions were obtained in all nine adults with Ph1-All but in only three of six with Ph1+ ALL. Adults with Ph1-ALL survived significantly longer. Four adults with ANALL were Ph1+. They did not respond to treatment and survived significantly shorter periods than adults with Ph1-ANLL. No clinical or morphologic features indicated which patients with acute leukaemia would have the Ph1. Since the presence of the Ph1 in acute leukaemia has therapeutic and prognostic significance, marrow chromosome studies should be performed in adults presenting with acute leukaemia, especially ALL.


Basophilic chronic granulocytic leukaemia with hyperhistaminaemia. Two patients with typical Philadelphia chromosome positive chronic granulocytic leukaemia (CGL) developed an accelerated phase of the disease characterized by an increase white blood cell count and marked basophilia in the bone marrow and peripheral blood. Histamine levels were extremely high in both patients. Hyperhistaminaemia was manifested as wheezing, urticaria, diarrhoea, and pruritus in one patient and as peptic ulcer disease and peripheral oedema in both patients. In one case, gastric acid studies revealed a very high basal to stimulated ratio (BAO/MAO). Treatment with the investigational agent metiamide, an H2 receptor histamine antagonist, resulted in marked improvement in symptoms and reduction in gastric acid output. Extreme basophilia in CGL may be associated with hyperhistaminaemia, and manifestations of both the H1 and H2 type may occur.


Occurrence of acute leukaemia in myeloproliferative disorders. In a series of 306 cases of myeloproliferative disorders followed over a period of 21 years, 18 cases of well-documented acute leukaemia were encountered. Leukaemias were either acute myeloblastic or myelomonocytic and occurred from 6 months to 20 years after the initial diagnosis. Onset was relatively abrupt and the course rapidly fatal with with a median survival of 4 weeks. Due to the prolonged preleukaemic phase, it was possible to carry out a variety of clinical and laboratory observations. While no consistent features were noted, dysplastic haemopoiesis, a fall in leucocyte alkaline phosphatase activity, presence of Pelger-Hüet anomaly and other abnormalities suggest a disturbance in granulocytic maturation. These findings suggest that, following an initial injury to a pleuripotential haemopoietic stem cell, a prolonged 'latent' period occurs and, due to exposure to additional injurious agents or to a lack of cell regulating factors, acute leukaemia develops.


Ocular ultrastructural study in a fetus with type II glycogenosis. The general pathological and ocular studies in an aborted fetus with type II glycogenosis revealed the widespread lysosomal storage of glycogen. Obvious lesions are observed in the viscera, in the skeletal and ocular muscles, and in all ocular tissues except the pigment epithelium of the retina. Brain and heart are relatively spared. Conjunctival and skin biopsies have a diagnostic importance, since specific alterations are evident early in the course of the disease.


A new approach to the mandibular nerve block. A new method for the block anaesthesia of the oral branches of the mandibular nerve is described. Only one penetration of the oral mucosa is made in this injection at a site which is relatively painless and which results in a more rapid onset of anaesthesia. This method is also of value when trismus or ankylsis is present and is free of common complications.


Chondromyxoid fibroma of the mandible: a case report.


Myxofibroma of the jaws.

Myxofibroma of the jaws.


Haematological features and differentiation of recurrent oral ulceration.


STNMP - a new classification for oral cancer.


Variations in the normal anatomy of the inferior dental (mandibular) canal: a retrospective study of panoramic radiographs from 3612 routine dental patients. A review of 3612 panoramic radiographys from routine dental patients indicates that the mandibular canals are usually, but not invariably, single and bilaterally symmetrical. The position of the canal varies with respect to the lower border of the mandible and the apices of the roots of the teeth and this excludes its use as a set reference point for prosthetic or orthodontic assessment. Three distinct varieties of supplemental mandibular canals, large enough to be seen on panoramic radiographs, are described.


Pathological conditions of the mandible: their effect on the radiographic appearance of the inferior dental (mandibular) canal. Whilst the special anatomical features of the mandible may make radiographic comparison of jaw lesions with similar conditions in other bones more difficult, the changes that occur in respect to the mandibular canal and the teeth may in themselves aid diagnosis. Benign cysts and neoplasms generally cause a displacement of the mandibular canal, but its cortical plate remains intact, Severe infections and malignant tumours result in an irregular erosion of bone and loss of the sclerotic outlines of the canal.


Some anatomical and physiological causes of failure to achieve mandibular analgesia.


Thymic hormone (THF) therapy in immunosuppressed children with lymphoproliferative neoplasia and generalized varicella. Four children with lymphoproliferative malignant disease, two with acute lymphocytic leukemia in remission and two with Hodgkin's disease, were treated with a Thymic Hormone, THF, for disseminated varicella infecition. It is suggested that THF increased significantly the number of peripheral blood lymphocytes and T-rosette forming lymphocytes in 3 out of 4 children, who developed the varicella at the time of impaired cellular immunity. On the other hand, in the fourth child, with Hodgkin's disease, who had a normal number of T-rosettes, a decreased absolute number of lymphocytes as well as T-rosettes was observed over a course of 14 days THF treatment, although the percent of T-cells has not changed significantly. All of the four children recovered, including the child who was at high risk, with a marked lymphopenia, severe bilateral pneumonitis, hepatitis secondary infected skin lesions and psudomonas sepsis. It is indicated that THF therapy may restore the depressed cellular immunity in immunosuppressed children with malignant disease, and has its value as a supportive immunotherapy in life-threatening disseminated varicella infection.


Subacute myelocytic leukemia associated with the philadelphia chromosome and supplementary translocation : 9-12. The authors report a case of subacute myelocytic leukemia presenting some severe aspects. The cytogenetic findings show the Philadelphia chromosome ; t (9-22) and a second translocation between the chromosome 12, and the other chromosome 9 : t (9-12). They think that this second translocation represents a supplementary cytogenetic argument for the isolation of "Subacute myeloid Leukemia with Philadelphia chromosome" within chronic myeloid Leukemia.


Polymorphonuclear function in acute myeloblastic leukemia. A study of granulocyte functions in acute myeloblastic leukemia is reported. Functions were assessed by the ability of polymorphonuclear to migrate in Boyden's chamber, to ingest and kill staphylococcus aureus. Chemotaxis was grossly impaired. Cellular imparirment of phagocytosis and bactericidal capacity was observed in 5 and 9 patients. An inhibitor of phagocytosis and bactericidal capacity was observed in 9 and 4 patients. Results improved in complete remission.


Alternative treatments in Legg-Calve-Perthes disease.


Mechanical and electrical manifestations of fatigue in the muscles of pronation and supination.


The future shape of the mental health services in the State of New York.


Communication through hearing aids.

Communication through hearing aids.


Evolution of the modern anesthetic technique.


An unusual cause of ventilator leak.

An unusual cause of ventilator leak.


Prolonged remission maintenance in acute myeloid leukaemia. Twenty-five patients with acute myeloid leukaemia were treated with three quadruple drug combinations in predetermined rotation: TRAP (thioguanine, daunorubicin, cytarabine, prednisolone); COAP (cyclophosphamide, vincristine, cytarabine, prednisolone); and POMP (prednisolone, vincristine, methotrexate, mercaptopurine). Fifteen patients (60%) achieved complete remission and five (20%) partial remission. For maintenance, five-day courses of drugs were administered every 14 to 21 days and doses were increased to tolerance. The median length of complete remission was 66 weeks. In eight patients remission maintenance treatment was discontinued and some remained in complete remission for over two years. In this series the remission induction rate was comparable with that reported for other regimens and complete remission lasted longer with this intensive maintenance regimen than with others. Nevertheless, the TRAP programme must still be regarded as only palliative treatment for acute myeloid leukaemia.


Lymphoid blastic crisis at the onset of chronic granulocytic leukemia: report of two cases. Two patients with a typical hematologic pattern of acute lymphatic leukemia were brought into complete remission by treatment. A few weeks later they developed a typical peripheral and bone marrow pattern of chronic granulocytic leukemia, with Philadelphia chromosome and very low leukocyte alkaline phosphatase. These cases, along with other findings recently reported in the literature, support the possibility of a previously unrecognized relationship between lymphoblastic cell populations and chronic granulocytic leukemia.


Clostridium septicum infection in childhood leukemia: report of a case and review of the literature. Overwhelming Clostridium septicum infection is a rare occurrence in children. It is seen almost exclusively as a complication of acute leukemia. A high index of suspicion in the leukemic child with an acute abdomen is the key to early diagnosis and improved survival. A case in a 13-year-old girl with acute myelogenous leukemia is reported and six pediatric cases in the literature were reviewed.


Urinary lysozyme phenotypes in monocytic leukemia. A method of two-dimensional electrophoresis has been devised to allow the study of the electrophoretic mobility of urinary lysozyme. Three different phenotypes have been defined in a study of thirteen purified lysozymes obtained from different patients with monocytic leukemia.


Pharmacologic studies of continuous infusion of arabinosylcytosine by liquid infusion system. Arabinosylcytosine (ara-C) was administered by prolonged intravenous infusion with a portable liquid infusion system (LIS) to patients with acute myelogenous leukemia. With the use of tritiated ara-C and this portable system, pharmacologic studies were performed in 8 patients. Most of the plasma radioactivity is in the deaminated product, arabinosyluracil (ara-U). After continuous intravenous infusion, a constant ara-C level is achieved slowly in the plasma. Unless a loading (priming) dose is administered immediately before beginning the infusion, a steady-state ara-C level cannot be achieved until 8 to 24 hr after the infusion. The infusion system has two mechanisms--one for giving a loading dose (3 ml/min) and the other for regular infusion at a rate of 0.5 to 2.0 ml/hr. If a loading dose is given before continuous infusion, a steady-state are-C level is achieved within an hour. The plasma ara-C disappearance curves are biphasic with a terminal half-life of 104 min, which is the same as that of a single injection. The cumulative urinary excretion after approximately 23 hr of infusion varied from 14% to 35% in different patients; more than 90% is ara-U and the remainder is ara-C. Our results have demonstrated that LIS can be used conveniently to sustain a constant plasma level of ara-C. The LIS increases mobility of both inpatients and outpatients and is particularly convenient for ambulatory patients.


Regulatory mechanisms in the immune response to cell-surface antigens.


Model-building studies of antigen-binding sites: the hapten-binding site of mopc-315.


Three-dimensional structure and diversity of immunoglobulins.


Primary structural differences in myeloma proteins that bind the same haptens.


Folding, association, and interactions of domains in the antibody molecule.


Rabbit immunoglobulin allotypes: complexities of their genetics, expression, structural basis, and evolution.


The ontogenesis of lymphocyte diversity in anuran amphibians.


Comparative chemical analyses and partial amino acid sequences of the heavy chains of HL-A antigens.


Structural differences between parent and variant H-2K glycoproteins from mouse strains carrying H-2 gene mutations.


The guinea pig MHC: functional significance and structural characterization.


Chemical characterization of products of the H-2 complex.


Partial amino acid sequences of MHC products.


A computerized system for the evaluation of community dental programs. This paper reports on a relatively uncomplicated and inexpensive computerized system for prospective evaluation of clinical dental programs from the point of view of effectiveness and efficiency. Availability of this system does away with some high start-up costs. Three forms of input data, new case information, examination findings and operative procedure information, are regularly collected on data sheets and specially designed Port-a-punch IBM cards. Easily interpreted output tables are generated monthly on such variables as completed cases according to treatment series and clinician, number of various procedures performed by clinicians, etc. Productivity is measured, in part, by application of monetary constants to procedure data. This paper describes the computer programs used, the cost of setting up and operating the system (which is within the budgetary constraints of most small, publicly funded programs) and the benefits that can be derived from the use of such a system. The system provides prompt feedback of relevant administrative data, thus allowing for relatively quick response to problems. Use of the system reduces clerical needs to a minimum and the program can easily be implemented on any except the very smallest digital computer.


Time utilization, productivity and costs of solo and extended duty auxiliary dental practice. A study was conducted to compare the time utilization of the dentist, and productivity and costs for solo (one dentist, one chairside assistant and one treatment room) and extended duty settings (one dentist, two extended duty dental hygienists, one chairside assistant and two treatment rooms). Only amalgam and composite restorations done in a general group practice were included. In the extended duty setting the dentist spent more time in managerial activities and less time in treatment than in the solo setting. Nevertheless, the dentist in the extended duty setting produced 53% more restorations as compared with solo practice. The cost ratio of solo to extended duty practice was computed to 1:1.52. From the point of view of microeconomics, the extended duty setting was found no worse than the solo setting.


The distribution of dentists and the uptake of dental treatment by schoolchildren in England. The uptake of treatment by 508 14-year-old children in different social classes in two towns in England with different dentist:population ratios was investigated. In the town with the unfavorable dentist:population ratio (Town U) the uptake of treatment was considerably higher in the higher social classes. In the town with the favorable dentist:population ratio (Town F) the uptake was similar throughout the social scale. The results suggest that the availability of dentists rather than sociologic attitudes to dental health is largely responsible for the differential uptake of treatment by children in the different social classes.


Role of health education among services rendered by dental personnel in Finland. The quantity and origins of dental health education information were surveyed in June 1973 by interviews with a sample comprising 505 persons drawn to cover the total Finnish population aged 15 years and over. The interview revealed that tooth extraction was the most frequent (43%) of the measures performed during the last visit to dentist and tooth filling was the measure second in frequency (41%). Rare measures were periodontal treatment (13%) and teaching of home care (2%). Radio and television were the most frequently mentioned sources of information (47%); however, the evaluations of the reliability of information on dental health education in the mass media were skeptical. Dental service personnel was a not minor source of information (33%) and its effectiveness was recognized. Although dental health education performed on the personal level is a great challenge, which should be accepted by the whole dental personnel, a total of 58% of the interviewees were of the opinion that they had not received sufficient information on dental home care.


A marked difference in caries prevalence between 5-year-old children in two areas of Staffordshire, England. The purpose of this study was to compare the dental caries experience of 5-year-old children in an urban and rural area of Staffordshire, England. The populations comprised 365 children and 206 children, respectively. 161 children in the urban area and 124 children from the rural area were examined. Those in the rural area had 44% less dental caries experience (P less than 0.01). The mean dmf of children with good dental cleanliness was similar in each area but there was a 39% and 33% interarea difference between those with fair and poor standards of dental cleanliness. A larger proportion in the rural area belonged to social classes 1 + 2 and fewer to social classes 4 + 5. A significant difference in dmf (P less than 0.01) between the areas in social classes 3N and 3M was found. Water supplies had less than 0.20 parts/10(6) fluoride. The interarea difference in caries prevalence cannot be fully explained by consideration of the variables of dental cleanliness, social class and waterborne fluoride. It is hypothesized that tooth resistance may differ between the areas. The study will be repeated to confirm the findings.


Prevalence of hypodontia and malformations of permanent teeth in Iceland. This study was performed to elucidate the prevalence of hypodontia and congenital malformations of permanent teeth in Iceland. Computer analysis was done on the basis of results from examining 1,116 children (521 boys and 595 girls), or about 9.5% of all schoolchildren in Reykjavík in stages DS 3 (canines and premolars erupting) and DS 4 (canines and premolars fully erupted) of dental development at the time of the study. The age range was mainly from 8-16 years. The prevalence of congenitally missing teeth (second and third molars excluded) was 6.7% in boys and somewhat higher, 8.9%, in girls, 7.9% for both sexes combined. On the average, each child was missing 1.9 teeth. In the girls, the most commonly absent teeth were the mandibular second premolar (55%), the maxillary second premolar (19%), and the maxillary lateral incisors (18%). In the boys the figures were 51%, 18%, and 10%, respectively. Malformation of permanent teeth, mainly in the form of pegshaped maxillary laterals, was also less common in the boys, 1.3% against 3.0% in the girls, and 2.2% for both sexes combined. Among Icelandic children hypodontia and/or congenital malformation of permanent teeth were found in 9.1%.


Tooth survival in institutionalized elderly Cape Coloreds from the Cape Peninsula of South Africa. An investigation has been conducted in order to assess the oral health status and need for dental treatment among Cape Coloreds resident in homes for the aged in the Cape Peninsula of South Africa. Tooth loss was greater in females than in males (P less than 0.002) but a statistically significantly greater proportion of surviving teeth were grossly carious in men than in women (P less than 0.002). More teeth had survived in the mandible than in the maxilla (P less than 0.002) and proportionately more teeth were grossly carious in the maxilla than in the mandible (P less than 0.002). The distribution pattern of the remaining dentition according to tooth type was similar for both jaws, the canines being the most persistent teeth.


Diagnosis and management of myeloproliferative disorders.


Release of interferon-induced translation inhibition by tRNA in cell-free extracts from mouse erythroleukemia cells.


Amino acid control of stable RNA synthesis in Friend leukemia cells in relation to intracellular purine nucleoside triphosphate levels. Histidinol is known to cause deacylation of histidyl-tRNA in cultured mammalian cells, thereby producing a functional deprivation of histidine. Such deprivation of an essential amino acid is known to produce various effects, including inhibition of tRNA synthesis and of nucleolar RNA synthesis and processing. It has been proposed [Grummt, F. & Grummt, I. (1976) Eur. J. Biochem. 64, 307-312] that this response to amino acid deprivation is mediated by decreases in GTP and ATP pool sizes caused by a deacylated-tRNA-dependent hydrolysis of GTP. In contrast, we find that Friend leukemia cells treated with histidinol show no significant changes in GTP or ATP pool sizes, although this treatment does produce the expected inhibition of rRNA and tRNA synthesis.


Why research? Inaugural address.

Why research? Inaugural address.


Secondary osteoarthrosis (osteoarthritis) of the temporomandibular joint.


Persisting maxillary diastema: differential diagnosis and treatment.


The impacted third molar.

The impacted third molar.


Trigeminal neuropathy.

Trigeminal neuropathy.


An in vitro assessment of oral prophylaxis procedures. A scanning electron microscopy study.


Ropalocytosis in acute leukemia.

Ropalocytosis in acute leukemia.


Sex selection with biased technologies and its effect on the population sex ratio. Current biomedical research on sex selection techniques may soon offer couples the opportunity to choose the sex of their children with greater certainty. A technique planned for marketing by mid-1978 can increase the probability of bearing a son to as much as 0.90. However, couples who wish to improve their chances of bearing a daughter have no such opportunity. The purpose of this paper is two-fold. First, a decision-making model is provided which describes how couples should choose among alternative sex-selection methods so as to maximize the probability of bearing their desired number of sons and daughters. Second, the effect of the widespread use of sex-selection techniques on the population sex ratio is explored. It is shown that even if populations have unbiased sex preferences, or sex preferences biased towards daughters, the use of biased sex-selection technologies may result in very high population sex ratios.


Adenylate cyclase in plasma membranes purified from rat osteogenic sarcoma.


Differentiation of a resistant clone of mouse myeloid leukemia cells with dimethyl sulfoxide and ascitic fluid. Mouse myeloid leukemia line cells, M1, could be induced to differentiate in vitro into macrophages and granulocytes with ascitic fluid of animals bearing various tumors. M1 cells could not be induced to differentiate with dimethyl sulfoxide alone. During the culture of M1 cells, spontaneously appearing cells resistant to factors stimulating differentiation (D-factor) in ascitic fluid were isolated. These resistant cells were more refractile to the toxic action of dimethyl sulfoxide than sensitive cells and grew in culture medium with 1% dimethyl sulfoxide. Although the resistant cells were not induced to differentiate with dimethyl sulfoxide alone, they were sensitized with the aid of dimethyl sulfoxide to undergo differentiation with the D-factor in ascitic fluid.


Glucorticoid-induced differentiation of cultured mouse myeloid leukemia cells. Mouse myeloid leukemia cells were induced by some corticoid hormones to migrate in agar, phagocytize, and change into forms which were morphologically similar to macrophages and granulocytes. Inducing ability of corticoids was correlated with glucocorticoid activity, not mineralocorticoid activity. Other steroids were ineffective to induce differentiation of myeloid leukemia cells. Glucocorticoid-resistant cells, which could not differentiate even in a high concentrations of dexamethasone, were selected from steroid-sensitive cells by stepwise increase in concentrations of dexamethasone in culture medium.


The three "then whats".

The three "then whats".


Water fluoridation. The cornerstone of dental caries prevention.


Congenital myeloblastic leukaemia: report of two cases.


Some formal-logical and social specificities of the obsessive and paranoid life style and thought-organization.


Psychiatric problems of the aged a new approach more useful for both patient and doctor.


The suicide of the 'young Werther' and the consequences for the circumstances of suicide of endogenic melancholics.


The ecological perspective as the basis of activity in the field of mental hygiene in the community.


Long-term psychodiagnostic follow-up an avenue to validation of psychological tools.


Self concept, delayed gratification and field dependence of successful and unsuccessful dieters.


Assessment of cerebrospinal monoamine metabolites in children using the probenecid method.


Pleuro-pericardial effusion: a presenting manifestation of acute myeloblastic leukaemia.


A study of the relationship between certain Rorschach responses and intelligence in Iran.


Fluorescence banding techniques in the identification of sibling species of the anopheles gambiae complex. The mitotic chromosomes of the sibling species A and B of the Anopheles gambiae complex were stained with Hoechst 33258 and examined by fluorescence microscopy. The autosomes fluoresce homogenously and similarly in both species while the sex chromosomes differ in the location and brightness of some heterochromatic blocks. These cytochemical differences allow the cytotaxonomic identification of these cryptic species.


The evolution of dominance: Haldane v Fisher revisited. Fisher's model for the evolution of dominance indicates that the accumulation of dominance modifiers will be accelerated by (1) an increased frequency of the mutant heterozygote, (2) increased selection for the phenotype of the normal homozygote. The model has been criticised by Haldane on the grounds that point (1) is not fulfilled, that is dominance appears to be more common in populations with a low frequency of mutant heterozygotes (populations of inbreeders). In support of Fisher's model it is argued that intense selection for the wild type phenotype is more common in inbreeders than outbreeders. This situation should promote the accumulation of dominance modifiers (point (2) above).


The effective size of a natural drosophila subobscura population. The effective size of a natural Drosophila subobscura population has been computed by drawing together various pieces of ecological information. The value, for both variance and inbreeding effective numbers, is approximately 400. This is largely due to reductions caused by a winter bottleneck and non-random distributions of family sizes. Areas where such estimates might be refined further are pointed out, and the implications of the results are discussed.


Linkage mapping from pair-wise recombination data. The problem of obtaining a genetic map of a linkage group from pair-wise recombination data is considered. A non-parametric approach is proposed, that does not require the definition of a mapping function, computation of coefficients of coincidence, nor knowledge of map length or sex differences in recombination. An application to Bridges and Morgan's (1923) data on chromosome 3 of Drosophila melanogaster is presented.


The genetical analysis of covariance structure. The analysis of covariance structures (Jöreskog, 1973) is adapted to the simultaneous maximum likelihood estimation of genetical and environmental factor loadings and specific variances. The goodness of fit is tested by chi square and standard errors of parameter estimates can be obtained. Any linear model used in univariate genetical analyses can be extended to the multivariate case. Most biological hypotheses about the relationships between variables can be specified by a variety of factor models. Individual parameters can be given fixed values or set to zero and hypotheses concerning the congruence of genetical and environmental correlations can be tested. The method is illustrated with published twin data on cognitive abilities.


The consequences of using inadequate testers in the simplified triple test-cross. The genetical consequences of common alleles in the L1 and L2 testers of a simplified version of the triple test-cross which is applicable to populations of inbred lines are examined. The test for epistasis under these circumstances becomes ambiguous and can spuriously detect non-allelic interactions when they may not exist although it still provides a test for epistasis and the adequacy of the testers simultaneously. The tests of significance and the estimates of additive variation are biased to an extent related to the dominance and dominance x additive effects of the common loci while the significance and estimates of dominance variation are deflated because they reflect the dominance effects at the non-common loci only. The covariance of sums and differences is also underestimated for the same reasons. These expectations are illustrated by analysing the 190 simplified triple test-crosses that could be extracted from a 20 x 20 diallel set of crosses between pure-breeding lines of Nicotiana rustica.


The use of regression methods to study genotype-environment interactions: extending Griffing's model for diallel cross experiments and testing an empirical grouping method. A model combining features of Griffing's diallel cross analysis with regression analysis for genotype-environment interactions is introduced using carp data of Moav et al. (1975) as an example. An analysis of variance based on this model provides information on the combining abilities of genetic effects and the interactions of these effects with environments from which inferences can readily be made on heterosis and heterosis-environment interactions. Applying the empirical grouping method of Lin and Thompson (1975) to these data (ignoring their diallel cross structure) established groups which were remarkably consistent with their members' crossing backgrounds.


A new index for the intensity of natural selection. A new index for the intensity of natural selection is proposed, based upon the double exponential model for fitness functions. This index is defined as a variance and is such that a value of zero indicates no selection while a value of one indicates quite strong selection. The use of the index is demonstrated using published data on the survival of human infants with different birth weights and gestation times.


Genetics of obesity of Zucker rats and Koletsky rats. The breeding data on Zucker rats and on Koletsky rats confirm that the obesity in these two strains of rats is inherited recessively and results from single gene mutations. Mating a Zucker heterozygote to a Koletsky heterozygote produced obese F1 progeny. Inter-stock breeding results indicate that the obesity in the Zucker-Koletsky hybrid stock is also inherited in a recessive manner. The gene that controls obesity in the Zucker rats, fatty (fa), and the gene that controls obesity in the Koletsky rats, f, are thus alleles at the same locus. We propose that f be renamed fak until it can be proven that fa and fak are identical.


Approximations for i, intensity of selection.


Changes in the heterogametic mechanism of sex determination.


A model for the specific pairing of homologous double-stranded nucleic acid molecules during genetic recombination. A model involving a specific pairing of homologous double-stranded nucleic acid molecules is applied to some parts of genetic recombination. The most original features of this application of the model relate to the initiation process, a part of which can be described by a highly compact and symmetrical structure. The model also provides a simple view of the formation of hybrid nucleic acid. The possibilities of detecting four-strand structures are briefly discussed.


Environmentally induced changes in ribosomal RNA cistron number: purported lack of correlation with phenotype.


A model of assortative mating with partial dominance. A model of assortative mating incorporating partial dominance is proposed for a single locus with two alleles. It is derived by starting from an arbitrary genotypic distribution and finding symmetric and non-selective mating frequencies which duplicate this distribution. Numerical values are imputed to genotypes, the homozygotes having numerically equal values, opposite in sign, and the heterozygote having a value determined by the gene and heterozygote frequencies. The model is specified in a canonical form which reveals the correlation between mates based on genotypic values, and relates the correlation to the fixation index. It permits negative as well as positive values of the fixation index. It is shown that this general model includes several particular cases, in equilibrium phase, occurring in the literature.


All is not grim with the grimm brothers.


Male hormone as a probable antileutic and immunity-stimulating agent.


The child looks upon the world.

The child looks upon the world.


Dreams of future events: precognitions and perspectives.


Treatment of feline myelogenous leukemia: four case reports. Of 4 cats with myelogenous leukemia, 3 had the neutrophilic type and 1 had the basophilic type. Partial remission was achieved with chemotherapy in 2 of the cats. Their survival times, however, were 77 and 31 days from time of diagnosis. The other 2 cats did not respond to treatment and died 16 days from time of diagnosis.


Induction of globin gene expression in cultured erythroleukemia cells by butyric acid. Butyric acid induces erythroid differentiation of cultured Friend leukemia cells when added to the culture medium. A high level of globin messenger RNA (mRNA) was detected in Friend leukemia cells treated with butyric acid by a liquid hybridization method using radioactive DNA complementary to reticulocyte globin mRNA. The content of globin mRNA molecules induced in the cytoplasm of the butyric acid-treated Friend leukemia cells paralleled the hemoglobin content determined by the benzidine staining method. Therefore, this hemoglobin synthesis may be most reasonably explained in terms of transcriptional activation of globin genes, as previously proposed in the case of dimethylsulfoxide, another inducer of erythroid differentiation. Induced accumulation of globin mRNA in the nuclei also supports this interpretation.


Renal aspergillosis: a report of two cases. Two cases of opportunistic aspergillosis of the kidney are presented. One patient, a child with unsuspected chronic granulomatous disease of childhood, presented with a renal mass which proved to be an abscess secondary to aspergillosis. The other patient, a terminal leukemic, had a renal vein thrombosis secondary to invasion of the renal vein by aspergillosis. Aspergillosis and other fungal diseases of the kidney should be considered in debilitated patients with an abnormal urogram.


Growth of plaque while chewing sucrose and sorbitol flavoured gum. The aim of the study was to assess the claimed toothcleansing effect of sorbitol and sucrose flavoured chewing gums. A total of 24 dental students participated in a double-blind, four times crossed over clinical trial during which each student chewed both types of gum for 4 days each. No other means to clean the teeth were allowed during the test periods. Two 4-day periods of no oral hygiene and no chewing were used as controls indicating the normal growth rate of plaque. The results confirmed earlier observations that sorbitol flavoured gum does neither increase or decrease plaque formation. Chewing of sucrose gum, however, was found to promote the growth rate of plaque. The cleansing effect of the gums was also tested on the plaque formed during the 4-day no-oral-hygiene periods. In this part of the study the chewing of 10 pieces of sorbitol flavoured gum during a time period of 3 h did not significantly reduce the plaque scores, while the sucrose flavoured gum, correspondingly used, again resulted in a statistically significant increase in the amount of bacterial deposits. Because of the rapid reaction of the plaque to sucrose flavoured gum, so-called sugarless substitutes were recommended for those who insist on chewing.


The reversal of localized experimental gingivitis. A comparison between mechanical toothbrushing procedures and a 0.2% chlorhexidine mouthrinse. Twenty dental students randomly divided into four groups of five participated in this trial. Three weeks of supervised oral hygiene preceded the study in order to ensure a optimum state of gingival health. The gingival condition was assessed by means of the Gingival Index and measurements of gingival exudate. Plaque accumulation was assessed by means of the Plaque Index. Using plaque-guards, two 21-day periods were alllowed for the induction of localized experimental gingivitis around a lateral incisor and adjacent canine in each jaw. The contralateral areas served as controls. Habitual oral hygiene procedures were maintained in all other areas of the mouth throughout the experimental periods. Following 21 days of localized plaque accumulation in the mandibular experimental areas, mechanical toothcleaning procedures were introduced at intervals of once a day (Group A), once every second day (Group B), once every third day (Group C) and once every fourth day (Group D). Groups A and B regained gingival health in 10 days. The experiment was then repeated in the maxillary experimental areas. Group A, rinsing once daily with chlorhexidine solution regained gingival health in 4 days. The results obtained in the localized experimental gingivitis model were similar to those reported when totally withdrawing oral hygiene.


Clinical relevance of circulating immune complexes in human leukemia. Association in acute leukemia of the presence of immune complexes with unfavorable prognosis. The occurrence of circulating immune complexes was investigated in 467 serum samples from 230 leukemia patients using the [(125)I]Clq-binding test. There was an increased serum [(125)I]Clq-binding activity in 40% of patients with acute myeloid leukemia, 23% with acute lymphatic leukemia, 46% in blastic crisis of chronic myeloid leukemia, 12% with chronic lymphatic leukemia, and 13% with chronic myeloid leukemia. In 48 patients, serum was also tested for soluble immune complexes by the Raji cell radioassay; the correlation between results of the two tests was significant. The Clq-binding material had properties identical with those of immune complexes. It sedimented as 14-28s material on sucrose density gradient. It contained IgG which could be dissociated at acid pH. Its Clq-binding properties could be removed after passage through anti-IgG immuno-absorbant or after a mild reduction-alkylation treatment, but were not sensitive to deoxyribonuclease treatment. Circulating immune complexes were found most commonly during the blastic stage of leukemia.Remission took place in 75.4% of patients with no detectable circulating immune complexes at the onset of acute leukemia, but in only 32.7% of those with detected complexes during this period. Median survival times of the former group of patients were more than 18 mo in acute myeloid leukemia and acute lymphatic leukemia and more than 8(1/2) mo in blastic crisis of chronic myeloid leukemia. The corresponding median survival times in the latter patient group were 64, 135, and 90 days. These findings were unrelated to prognostic features already known.


Microscopic evaluation of clinical measurements of connective tissue attachment levels. The purpose of this study was to determine how accurately periodontal probes measure connective tissue attachment levels in beagle dogs with (1) clinically healthy gingivae, (2) experimental gingivitis, and (3) periodontitis. In the healthy and experimental gingivitis specimens the probes were inserted with a standardized force of 25 ponds. In periodontitis specimens the probes were inserted with a gentle, but nonstandardized force. After insertion, 120 plastic periodontal probes (40 in each group) were held in place by fusing them to the teeth. Blocks of periodontal tissue with the probes in situ were subsequently processed and serially sectioned. Histometric measurements were made from the sections in order to compare the level of connective tissue attachment to the level of probe penetration. In healthy specimens the probes consistently failed to reach the apical termination of the junctional epithelium (x = -0.39 mm). In the experimental gingivitis group most probes came closer to the apical termination of the junctional epithelium, but on the average still fell short by x = -0.10 mm. In periodontitis specimens the probes consistently went past the most apical cells of the junctional epithelium (x = +0.24 mm). A significant relationship between the degree of inflammation and level of probe penetration was found. No relationship was observed between histological and clinical sulcus depths. It is concluded that in beagle dogs (1) periodontal probes do not precisely measure connective tissue attachment levels, (2) inflammation has a significant influence on the degree of probe penetration, and (3) histological and clinical sulcus depths differ significantly.


A clinical study of the relationship between crowding of teeth, plaque and gingival condition. A clinical trial was undertaken to assess whether crowded teeth were more likely to accumulate plaque and develop gingivitis than non-crowded teeth. A tooth was considered crowded if it was displaced by 2 mm and/or rotated 15 degrees or more from the normal position in the arch. The material consisted of 50 dental students aged 21 to 32 years. An initial examination comprised assessment of Plaque Index, Gingival Index and pocket depths. After this examination the subjects refrained from using interdental cleaning aids but continued with their normal toothbrushing for 40 days. After re-examination they were instructed in the effective use of dental floss. A final examination was carried out after 140 days. At the start of the trial no difference was found in regard to the Plaque Index between crowded and non-crowded teeth. The Gingival Index for growded front teeth, but not for crowded premolars, was somewhat higher than for the corresponding controls. The cessation of interdental cleaning resulted in a similar increase in plaque accumulation and gingival inflammation in both non-crowded and crowded teeth. The use of dental floss for approximal tooth cleaning resulted in a similar decrease in the Plaque- and Gingival Indices for both types of teeth. The results demonstrate that in a group of young adults, crowding of teeth (1) did not favour plaque accumulation on approximal tooth surfaces and (2) influenced the degree of gingival inflammation only to a minor extent.


Microbial characterization of an experimental cariogenic plaque in man. Experimentally induced plaque seemed to originate by direct contact inoculation from the vestibular mucosa and saliva. During the next seven days, this plaque developed its own characteristics. Populations of Streptococcus mutans usually less than 2% of total streptococci population in plaques that were less than three days old, increased between days 3 and 7. Proportions of S sanguis, high in early samples, decreased after day 3. Populations of S salivarius, which usually outnumbered other streptococci, fluctuated widely through day 3, and then increased in proportion in subjects who were more productive of experimental caries, but decreased in subjects who were less productive. Proportions of plaque flora comprising lactobacilli paralleled those of S salivarius.


Snack food intake of adolescents and caries development. The relationship between the frequency of eating various snack foods, socioeconomic variables, and an increment in caries was studied in 143 adolescents. There were negative correlations between DMFT increments and the frequency of apples, fruit juice, and sugarless gum intake, and a positive association of DMFT increments with chocolate candy intake and spending money.


Comparison of antiplaque agents using an in vitro assay reflecting oral conditions. An in vitro assay is described using saliva-treated bovine enamel slabs for determining the potential of chemotherapeutic agents to adsorb to tooth surfaces and act against plaque-forming bacteria. Chlorhexidine was found to inhibit the formation of in vitro plaque by Actinomyces viscosus, A naeslundii, Streptococcus mutans and S sanguis. Actinobolin was found to have marked antibacterial properties but limited adsorptive qualities.


Effect of interdental flossing on the incidence of proximal caries in children. A clinical study was designed to evaluate the effect of frequent interdental flossing on the incidence of proximal dental caries. School children from a fluoride-deficient area were studied after clinical and radiographic examinations. Each child had at least one contralateral pair of intact, contacting proximal tooth surfaces between the distal surface of the primary cuspid and the mesial surface of the first permanent molar. Randomly selected test surfaces were flossed each school day with unwaxed dental floss by researchers. The contralateral surfaces served as controls. Flossing was done for eight months, discontinued for four months, and reinstituted for another eight months. A significant reduction in the incidence of proximal caries resulted.


Effect of packing pressure on the abrasion resistance of dental amalgams. Three dental amalgams were investigated to determine if their abrasion resistance was significantly affected by different packing pressures. Abrasive wear tests were performed on a machine designed to test materials under conditions similar to masticatory function. The results show that the abrasion resistance of the amalgams is unaffected by the packing pressure.


Sorption of water by filled-resin composites. Water-sorption studies discriminate between passive (those containing Sn, Nb, and Ti) and reactive (those containing Zn and an alloy of CoCrMo) metal-resin composites. The reactive ones form hydrated oxides or hydroxides or both, in accord with a parabolic rate law. The nature of the chemical reaction is elucidated in two instances by analysis of the resultant gases.


Influence of certain manipulative variables on the static creep of amalgam. The effects of trituration time on the creep of eight commercial dental amalgams was determined. The data show that trituration time does influence the creep of amalgam, but its magnitude varies from one alloy to another. The condensing procedure also influences creep.


Rheology of composite filling material pastes. The rheology of composite pastes in the unset state has been studied using a cone and plate viscometer. All materials behaved as Bingham bodies, exhibiting linear shear stress-shear rate plots, with a positive shear-stress intercept (the yield stress of the material). The shape of the plot gave the coefficient of viscosity of the material; at sufficiently high shear rates, shear failure occurred, marked by a breakdown of the linear relationship. The materials studied gave a very wide range of the various rheological factors.


Tonometric measurement of dental pulpal and mandibular marrow blood pressures. Dental pulpal and mandibular marrow vascular pressures were studied with a tonometric method under conditions of autoperfusion and step flow controlled perfusion. The tonometric pulpal and marrow pressures averaged 17 +/- 5 mm Hg and 20 +/- 6 mm Hg, respectively. The venous end pressure was 16 +/- 8 mm Hg at a perfusion pressure of 156 +/- 28 mm Hg. The tonometric pulpal pressures were lower and were less variable than the comparable canulation pulpal pressures.


Duration of the electromyographic silent period following the jaw-jerk reflex in human subjects. During voluntary jaw clenching, a sharp tap to the menton of the mandible resulted in a transitory silent period (pause) in the electromyographic activity of the masseter and anterior temporalis muscles. Factors that could influence the duration of the silent period were studied, including direction and magnitude of the stimulus applied by the operator, the amount of muscular effort exerted by the subjects, and varying occlusal vertical dimensions. Decreased isometric muscle force resulted in statistically significant increases in silent period durations.


Effects of GK-101 (NMG) and sodium hypochlorite on salivary amylase activity. A study was designed to assess the effects of the sodium salt of N-monochloroglycine (NMG) and sodium hypochlorite on the activity of salivary amylase. Concentrations of each agent were varied to determine the concentration at which the threshold and total inhibition of enzyme would be obtained. The data indicated that NMG at concentrations of 0.10% (w/v) does not affect amylase activity, whereas sodium hypochlorite at concentrations of 0.05% (w/v) totally inhibits salivary amylase activity.


Lack of effect of excess glucocorticoid hormone on the rate of dentin deposition in rats. A study was undertaken to determine the effect on the rate of deposition of dentin when high levels of adrenal glucocorticoid hormone are administered to rats. The results indicate that in the hypercorticoid rat, despite an increased eruption rate and a reduced width of incisor wall, no alteration occurs in the rate of dentin formation.


Colorimetric quick test for the quantitative determination of vol.-% gamma 2-phase in dental amalgams.


Wear of commercial pit and fissure sealants.


Effect of radiotherapy on whole saliva flow.


Onset of alkaline phosphatase and succinate dehydrogenase activity in the distal cytoplasm of mouse molar ameloblasts.


Plaque formation by Streptococcus mutans: an in vitro method for quantitative determination.


Sex discriminatory effectiveness using combinations of permanent teeth.


The effect of fluoride ion on apatite formation from amorphous precursor.


Constant factors in dental growth and shape.


A peculiar structure in the oral mucosa of carnivores.


Gastrointestinal absorption studies in cardiac cachexia. The nutritional status of 11 patients with severe mitral valve disease was investigated pre-operatively and 3 months post-operatively. It was shown that they were malnourished pre-operatively, and that this appeared to be related mainly to anorexia.


The denturism problem.

The denturism problem.


Are you listening?

Are you listening?


The interrelationship between the American College of Dentists and the American Dental Association.


Preparation for lifelong learning.

Preparation for lifelong learning.


Toward an improvement in the quality of life.


Community dentistry--another view.

Community dentistry--another view.


Licensure by credentials has good potential.


Erosion patterns.

Erosion patterns.


Comment on endontic classification.

Comment on endontic classification.


Ideas on continuing education.

Ideas on continuing education.


CPR for dentist and auxillaries.

CPR for dentist and auxillaries.


Views on basic sciences.

Views on basic sciences.


Correction on fluoride content.

Correction on fluoride content.


Occlusion important, also.

Occlusion important, also.


Regional board working well.

Regional board working well.


Toothbrushes to Costa Rica.

Toothbrushes to Costa Rica.


Oxidation of aluminum.

Oxidation of aluminum.


Permanency of EBA cement.

Permanency of EBA cement.


Criticizes sedation article.

Criticizes sedation article.


Council on Insurance: serving members' needs by assuring protection.


Enamel biopsy results of children receiving fluoride tablets. This study measured the fluoride in tooth enamel of 338 schoolchildren after daily use of acidulated phosphate-fluoride (APF) tablets, and investigated the relationship between observed amounts of enamel fluoride and incidence of caries. Randomly selected study groups received under supervision either one placebo tablet, one APF tablet containing 1 mg fluoride, or 2 APF tablets (3 hours apart) each school day. An abrasive enamel-type biopsy of a maxillary central incisor was taken 30 months after the start of fluoride tablet treatments at the time of the follow-up examinations. Mean fluoride levels in the biopsied enamel from each of the three groups were similar despite a significant restriction in caries in the group receiving two APF tablets per day. These findings suggest that fluoride can restrict dental caries by some mechanism other than fluoride uptake in the enamel.


Patients of record.

Patients of record. Although the case of Smith vs Jones helped settle some of the problems in defining patients of record, it did not address itself to all the situations in which a definition of patients of record would be needed. The question of which dentist should have the records of certain patients will present difficulty as long as two or more dentists continue to practice without a formal agreement that addresses this question. And the rights of partners, associates or employees should be determined in writing in the partnership agreement, employment contract, or bylaws of corporate practice before the association is established.


The importance of developing teamwork between dentists and physicians.


Mail order merchandise and you, the dentist. Council on Dental Materials and Devices.


Paul-Bunnell antigen in lymphoma and leukemia spleens. Lymphoid cells obtained from spleens of patients with lymphomas or leukemias were studied for the presence of heterophile (Paul-Bunnell (P-B)) antigen. A mixed agglutination (MA) test was established utilizing monolayers of cells attached to poly-L-lysine-coated wells of plastic U plates. After incubation of the monolayers with infectious mononeucleosis (IM) sera, indicator cells, sheep, or trypsinized bovine erythrocytes were added. The results were assessed according to sedimentation patterns of the indicator cells on the monolayers. Positive MA reactions were shown to be due to specific binding of P-B antibodies to the corresponding antigens on the spleen cells. Positive results were obtained with 15 of 37 spleens from patients with Hodgkin's disease, 5 of 8 lymphoma spleens, 4 of 15 chronic myelocytic leukemia spleens and 2 of 4 chronic lymphocytic leukemia spleens. Only 2 of 25 spleens from patients with various other diseases and 1 of 26 apparently normal thymus specimens gave positive results. This study confirmed demonstration of P-B antigen in lymphoma and leukemia by means of absorption experiments, which was reported previously.


Fine structure of fibroblasts in the periodontal membrane and their possible role in tooth drift and eruption.


Platelet-cancer cell interaction in metastasis formation: a possible therapeutic approcach to metastasis prophylaxis. The mechanism of the early stage of metastasis formation by sticky blood-born cancer cells is discussed. Abnormal platelet aggregation to circulating and lodged cancer cells, as well as alterations of blood coagulation and fibrinolysis play an important role. The reducing effect of several platelet aggregation inhibitors on cancer cell stickiness and tumor embolism mortality has been investigated in rats after intravenous transplantation of 1 X 10(6) Walker-256 carcinosarcoma cells. The tested substances diminished platelet aggregation to circulating cancer cells, leading to a dose-dependent inhibition of cancer cell lodgment to the endothelium. Furthermore, some of the substances prevented lethal pulmonary tumor cell embolism which was observed in 60% of the controls. These results are interpreted by assuming an inhibition of disseminated intravascular coagulation which occured after intravenous transplantation of Walker-256 carcinosarcoma. On this basis a clinical long-term study for metastasis prophylaxis was started more than 4 years ago with one of the tested substances, the dipyridamole derivative RA 233, in 40 patients with sarcoma or malignant lymphoma of the head and neck region. The provisional results obtained in matched pairs are discussed.


Preliminary clinical study of prednimustine in lung cancer. Prednimustine is a prednisolone ester of chlorambucil which has been found effective in a variety of tumors. Eleven patients with advanced carcinoma of the lung (5 adenocarcinoma, 3 squamous cell carcinoma, 2 small cell carcinoma and 1 large cell carcinoma) were treated at a dosage of 40 mg. per day. Nine had previously failed on combination chemotherapy. No objective responses were observed. Leukopenia or thrombocytopenia were found in 4 patients with nadirs of 2,000 WBC and 60,000 platelets. The lack of response may be a function of the inability of lung carcinoma to concentrate the drug as shown with radioactive labeled Prednimustine. The malignant cells may lose their glucocorticoid binding capacity normally present in the lung. Determination of glucocorticoid binding capacity or Prednimustine uptake might predict the effectiveness of Prednimustine in the treatment of tumor. Prednimustine was well tolerated and may be given safely in advanced malignancies. Further studies with high intermittent doses and selection of tumors with steroid binding properties are now in progress.


Effects of the simultaneous administration of diethylstilbestrol and prednisolone on serum enzymes in Duchenne's muscular dystrophy. The effects of diethylstilbestrol (DES) and prednisolone (Pr), administered alone or in combination, on the serum enzyme activities in Duchenne's muscular dystrophy (DMD) have been evaluated. When DES and Pr were given simultaneously to four boys with DMD, the mean creatine phosphokinase and lactate dehydrogenase levels fell to about one half those achieved with either agent alone. No untoward or unexpected side effects were encountered. These observations, and our previous demonstration that both agents reduce enzyme efflux from skeletal muscle, give promise that a safe combination therapy may be found to approximately normalize the serum in DMD. This will permit us to test the hypothesis that lowering the serum enzymes, by reducing their loss from skeletal muscle, will slow or arrest the muscle deterioration characteristic of this disease.


Giant platelets and thrombocytopenia: a bleeding disorder in siblings. Clinical laboratory and electron microscopic aspects. This report presents the findings of an inherited platelet abnormality in two members of the same family. The authors tested hemostasis of six normal and two abnormal members, studied the platelets using optical and electron microscopy, and genetic transmission in the family. The literature is also reviewed.


Serotonin and monoamine oxidase in mouse skin: effects of cigarette smoke exposure. Mice were exposed to either air or cigarette smoke and the content and uptake of serotonin and activity of monoamine oxidase were determined. Serotonin concentration increased as a function of the frequency of exposure, while serotonin uptake by the skin was maximally increased after two 8 min. exposures. MAO activity for serotonin, but not for tyramine, was decreased by cigarette smoke exposure of more than 8 min.


Diplomate status and the American Board of Endodontics.


Policy and procedures of the American Board of Endodontics.


Conference on inflammation. Polymorphonuclear leukocytic-bacterial interaction as a pathogenetic mechanism in periodontal disease.


Discussion of polymorphonuclear bacterial interaction as a pathogenetic mechanism in periodontal disease.


Composition and physical properties of gutta-percha endodontic filling materials.


Use of an endodontic implant for a mobile primary molar with no permanent successor.


Riboflavin-catalyzed photodegradation of bilirubin.


Intracranial tumors in Taiwan. A cooperative survey of 1,200 cases with special reference to intracranial tumors in children. Part I: General review of intracranial tumors in Taiwan.


Plasma cortisol in normal subjects and patients with various diseases.


Secondary hypertension due to renovascular diseases or adrenal tumors. A proposal approach of renal or adrenal vein catheterization with adrenal venography.


House dust and pesticide residues pollution.


Preparation areas resisting displacement of artificial crowns. The areas of luting cement resisting rotation of artificial full crowns subjected to non-axial forces were calculated for varying values of preparation diameter, height, and convergence angle. The calculations were performed for regular conical and pyramidal preparations. The results showed that the resisting areas are larger in pyramidal than in conical preparations. Increasing the convergence angle resulted in an almost linear reduction in resisting area. The reduction was particularly pronounced for preparations of large diameters.


Occlusion between removable dentures and natural teeth. Study casts on thirty-five partially edentulous patients were analysed at their arch level and at the interarch levels. At the arch level the crest of the residual ridge is located lingually to the position of the remaining teeth in the maxilla as well as in the mandible. The spatial interarch relationship between the residual edentulous ridge and the antagonist natural teeth in the buccolingual plane indicated that the crest of the residual ridge is lingual to the occlusal surfaces of the antagonist teeth. In the maxilla the positioning of the artificial teeth in the area previously occupied by the natural extracted teeth will place the denture teeth far buccal as well as away from the crest of the residual ridge. Other possibilities are to place the artificial teeth in a cross bite relation or to eliminate the buccal cusps of the replacement teeth. In the mandible the denture teeth can be placed at the position occupied formerly by the natural teeth.


Assessment of the quality of restorations. A literature review. Most assessments of the quality of restorations are entirely subjective and involve standard clinical diagnostic equipment. However in recent years there has been an increasing demand for more accurate and reliable methods. Attempts to achieve these have been directed mainly towards the standardization of clinical judgements by the provision of various systems of guidelines of criteria upon which to base them. While these have improved the usefulness of the assessments, they have remained largely subjective. Furthermore, the efficacy of using the particular criteria selected are themselves open to questioning. By the use of more complex methods of examination, often in the field of restorative materials research, assessments have been made of various features of restorations and a body of knowledge concerning factors that might influence or manifest their quality has been build up. However the true significance of much of this knowledge in terms of the clinical behaviour, and thus the finite quality of restorations in service, has yet to be established, for many of the studies have been undertaken in isolation from the dynamic conditions of function in the mouth. Notably, however, a few objective clinical studies have been carried out and objective measurements of some factors affecting the quality of restorations have been reported.


Differences in the physical properties of composite dental restoratives. Suggested causes and clinical effects.


Kinematics of the tooth tapping movement. Electrical activity in the masseter muscles and tooth contact vibrations were recorded simultaneously from subjects tapping their teeth slowly into maximal intercuspidation and again with maximal frequency. High speed cinephotography was also used with four of the ten subjects. Three main parts could be distinguished on the obtained graphical representation of the tooth tapping movement: tooth contact phase (TCP), opening phase (OP) and closing phase (CP). Tapping frequency was increased by decreasing the jaw opening degree and the durations of TCP, OP and CP. The jaw velocity immediately before tooth contact, which may be of significance for the reflex response, was however not increased. The average jaw speed was nevertheless increased from 10 to 15 cm/s since the turning from OP to CP was more abrupt in high than in low frequency tapping. The duration of electrical activity after tooth contact was significantly shorter at tapping with high than with low frequency. The teeth maintained contact without detectable rebound between each open-close cycle. The OP started about 100 ms after the cessation of electrical activity both at low and high tapping frequency. The time between end of electrical activity and the start of a new OP was supposed to be dependent upon the relaxation time of the masseter muscles.


The use of a biofeedback technique in the treatment of mandibular dysfunction pain. A preliminary report on the Myotron 220.


The in vitro measurement of amalgam corrosion rates by the polarization resistance technique. Measurement of the corrosion rates of three distinctive amalgam alloys (lathe-cut, spherical and dispersed-phase) when immersed in three different electrolytes, including saliva, is reported. The results indicate that the dispersed phase alloy amalgam exhibits a lower corrosion rate than a conventional lathe-cut alloy amalgam but is somewhat inferior to a spherical alloy amalgam.


Biological testing of dental restorative materials.


Evoked EMG of masseter and temporal muscles in man. Following a percutaneous stimulation on the mandibular notch skin, two kinds of responses were recorded in the ipsilateral masseter and temporal muscles in man. The two responses had their proper stimulating points. The early response appeared with about a 2 ms latency and the late one with about a 6 ms latency which was shorter than that of T wave of the same muscle by about 1 ms. No responses were induced in the contralateral masseter and temporal muscles. Regarding the recovery process of the late response following double stimuli, a testing late response was released about 100% from the effect of conditioning shock at a longer interval than 80 approximately 95 ms. It might be safe to consider that the previous assumption, i.e. those two responses seemed to be M and H waves respectively, had been fortified. H response evoked in muscles tested seems to be sensitive enough to show the difference between excitatory states of its reflex arc.


Preleukemic phase in childhood acute lymphoblastic leukemia.


Myofunctional therapy for complete denture patients.


Ecologic changes in the oral cavity caused by removable partial dentures. 1. The introduction of a removable partial denture into the oral cavity adversely affects the prevailing ecologic situation in terms of plaque formation. 2. The rehabilitative effect of a removable partial denture may be safeguarded by controlling plaque formation by strict personal hygienic measures on the part of the patient. In particular, proximal surfaces adjacent to denture bases should be pointed out to patients as surfaces to which they must give special attention. 3. Simplification of the design of removable partial dentures can reduce their damaging potentialities. 4. Further prophylactic measures, such as topical application of fluorides and perhaps other chemicals, should also be taken.


Scanning electron microscope study of marginal adaptation of amalgam in restoration finishing techniques. Voids and gaps between the surfaces of the amalgam and the cavity preparation were apparent in the carved and the polished samples. These spaces in the burnished specimens were filled with an amorphous bulk of amalgam apparently caused by the burnishing process. Since the margins of burnished amalgam restorations have been shown to leak less than those of carved and polished specimens, it is hypothesized that this is due to the improved marginal adaptation attained through the burnishing process.


Effect of a carious dentin softener on the dentin and pulp. The application of GK-101 to carious dentin softens the first or outer layer which contains denatured collagen. The second or inner layer of carious dentin, containing normal collagen fibers, is unaffected. The pulps of dog teeth were not affected by applying the solution to freshly prepared sound dentin.