Rubella in Orkney: seroepidemiology and vaccination. Rubella haemagglutination inhibiting (HAI) antibody titres were determined in 54 seronegative women and 31 naturally immune women after vaccination and revaccination with Wistar RA27/3 strain rubella vaccine administered by the intranasal or subcutaneous routes or revaccination with the Cendehill strain administered subcutaneously. In addition, HAI antibody titres were determined in 46 seronegative schoolgirls after vaccination with the Cendehill strain and revaccination with the RA27/3 strain.All seronegative women vaccinated with the RA27/3 strain developed antibody, peak titres being reached 6 weeks after vaccination. Six months after vaccination with the Cendehill strain, 45 (98%) of the 46 seronegative girls had developed antibody, but 11 (24%) had not reached their peak titre by 6 weeks, suggesting a slower response than that elicited by the RA27/3 strain. Revaccination did not induce significant antibody responses in the seronegative women vaccinated 6 months previously with RA27/3 but 4 naturally immune women developed an eightfold increase in antibody. In 10 (22%) of 46 schoolgirls previously vaccinated with the Cendehill strain a significant rise in antibody followed revaccination with RA27/3. These results provide further evidence of the more rapid antibody responses elicited by the RA27/3 vaccine in comparison with the Cendehill vaccine.An outbreak of natural rubella occurred in 1972 and 97 cases were confirmed serologically. The clinical disease was more common in older school-children and in adults. More males than females were affected in the 11-15 age group, the sex ratio being 18:12; this may be explained by the routine vaccination of girls of this age group as part of the national programme which began in 1970. The significance of the persistence of high HAI antibody titres after natural infection and the effect of the epidemic on the serological status of the population are discussed.


Correlation between systolic time intervals and invasive direct measures of left ventricular performance in ischemic heart disease.


Studies on the left ventricular performance. Evaluation based upon the force-velocity relations of the left ventricular muscle in various heart diseases.


Platelet adhesiveness in cerebrovascular diseases.


Biochemical studies on precatorine. (III) Effect of tryptophan and its N-methyl derivatives on liver glycogen.


Radionuclide brain scanning in patients with brain tumors.


Percutaneous thermocoagulation treatment for trigeminal neuralgia.


Episodic secretion of cortisol in adrenocortical hyperplasia, adenoma and carcinoma.


Endoscopic retrograde cholangiopancreatography. --an analysis of 320 cases--.


Excision of choledochal cysts.

Excision of choledochal cysts.


Effects of cardiotoxin and phospholipase A on the development of the chick embryo and the toxicity to the baby chick.


Non-invasive diagnosis of ischemic heart disease. Part I. A proposal of diagnostic criteria based upon a resting vectorcardiographic study.


B-mode ultrasound scanning in renal and perirenal diseases.


Experimental study on peritoneal dialysis in uremia.


A pilot study of pentazocine dependence.


The Romano-Ward syndrome. A case report.


Acute necrotizing ulcerative gingivitis. A study of some of the contributing factors and their validity in an Army population. A study of some of the possible contributing factors in ANUG were evaluated by a comparison of ANUG patients with a random patient sample. This paper supports the role of stress and smoking in the pathogenesis of ANUG.


Microvascular lesions of gingival and cheek pouch tissue in the diabetic Chinese hamster.


Inflammatory papillary hyperplasia and home-care instructions to denture patients.


Biologic laws governing functions of muscles that move the mandible. Part I. Occlusal programming. Many factors, other than the proprioceptive inputs originating from occlusal contacts of teeth, program jaw position and the functions of the muscles that move the mandible. However, once the mechanism by which specific occlusal contacts program specific muscle functions is clearly understood, it becomes a relatively simple matter to make an accurate diagnosis and select the most direct approach to treatment. This article is Part I of a series presented in four parts on the "Biologic Laws Governing Functions of Muscles That Move the Mandible."


Implantation of porous polymethylmethacrylate resin for tooth and bone replacement. This study suggests that: 1. The porous plastic material tested is compatible with and showed no undesirable reactions in subcutaneous, intracerebral, intramuscular, and especially, intraosseous sites. 2. By standardizing porosity (e.g., a desired hole, any dimension, uniformly distributed) with the implant material (P.P.M.M.), one can predict with a degree of certainty that connective-tissue (collagen fibers) or hard-tissue (osteogenesis and reparative bone) ingrowth into these micropores will definitely occur. 3. The various shapes employed for implantation of the plastic material were not carcinogenic and did not cause a malignant reaction in any implanted region. 4. A close "amalgamation" with adjacent tissues was a result regardless of the implant site (e.g., intramuscular, intracerebral, or subcutaneous). Intraosseously, there was a variation. Depending upon the pore size, one observes either connective tissue or osseous ingrowth into the micropores. At a 100 micron pore size (B material), connective tissue ingrowth into the P.P.M.M. was seen. At the 450 micron size (E material), osseous tissue ingrowth into the P.P.M.M. was clearly observed. 5. The P.P.M.M. implant material can be used as a tooth replacement (e.g., for a root) at a small pore size (100 micron) and as a bone replacement (e.g., for bony defects) at a larger pore size (450 micron). 6. To secure vascularization of the implant material, porosity throughout is indicated at a large pore size. Surface porosity regardless of size will encourage only soft-tissue ingrowth into the implant material. 7. Any hard-tissue size or shape can be duplicated with the material, at any pore size, with compatibility to the adjacent tissue, regardless of the region of placement in the body. 8. There is a possibility of bone "induction" or stimulation of bone growth in predetermined directions with all its implications (e.g., periodontal disease). The replacement and repair of any hard tissue in the body (e.g., bone and teeth) are possibilities.


An evaluation of commercial pastes for finishing composite resin surfaces. A study was conducted to determine the effectiveness of several commercial pastes in polishing the surfaces of composite resin material. Five samples of Concise composite resin contained within Plexiglas block holders were prepared using Mylar matrices. One block was disked only; three blocks were disked and polished, each with a different paste. The remaining block was the control. The surface roughness of all samples was measured with a stylus profile instrument. Five extracted teeth were prepared in the same manner with Concise composite resin and Mylar strip matrix. In each tooth, the surface was finished by disking only or by disking followed by polishing with one of three pastes. The fifth tooth was the control. The samples were examined by use of a scanning electron microscope. Quantitative evaluation of over-all computer data indicated that the smoothest surface was found immediately ater removal of the Mylar matrix and that pastes leave a rougher surface than is left with a disc.


Federation of Prosthodontic Organizations: annual session report, 1976.


Evaluating terminal hinge and neuromuscular positions in relation to the maximum intercuspation of the teeth.


Hydroxyapatite rheumatism and HLA markers. HLA typing of 38 patients suffering from calcific periarthritis (hydroxyapatite rheumatism) showed an increased prevalence of HLA A2 (66 per cent) and HLA BW35 (34 per cent) vs 44 per cent and 19 per cent in 591 controls (p less than 0.01 and p less than 0.03 respectively). These preliminary results suggest a possible association between factors controlling susceptibility to the disease and some HLA markers. Larger series of patients and family studies are required to confirm this hypothesis.


HLA antigens in osteitis condensans ilii and ankylosing spondylitis. Using a standard microdroplet lymphocyte cytotoxicity test for tissue typing, the distribution of the HLA antigens was determined in 37 female patients; 25 with osteitis condensans ilii (OCI) and 12 with ankylosing spondylitis (AS). Although low back pain was a common feature of OCI, none of these patients exhibited the limitation of spinal involvement, radiological evidence of spondylitis, or progressive clinical course seen in the AS group. Four of the 25 patients with OCI (16 per cent) were B27 positive vs 11 of the 12 patients with AS (92 per cent). These results suggest that OCI is not a variant of AS in women.


HLA B27 and ankylosing spondylitis: a population and family study in Sardinia. Thirty-eight patients with ankylosing spondylitis (AS) and 494 unrelated controls in Sardinia were HLA Typed. HLA B27 was present in 81.8 per cent of AS vs 5.3 per cent of controls (relative risk: 80). Twenty-six apparently healthy B27 positive individuals were studied clinically and radiologically, and six (23.0 per cent) presented signs of definite or suspicious AS. A family study on relatives of seven AS B27-positive and four AS B27-negative patients was also made. The results suggest a dominant heredity of AS susceptibility, and are compatible with a direct involvement of the B27 antigen in the mechanism of AS, but we cannot rule out a closely linked disease-susceptibility gene with incomplete penetrance.


HLA B27 and ankylosing spondylitis in the Israeli population. The distribution of 24 HLA antigens of the A and B loci was investigated in 38 Israeli ankylosing spondylitis (AS) patients of various ethnic origins. This was compared with the distribution in rheumatoid arthritis (RA) and osteoarthritis (OA), as well as in 456 controls representing the Jewish population and 260 controls representing the Arab population. Included in the study were Ashkenazi Jews and non-Ashkenazi Jews, as well as Moslem and Christian Arabs. The frequency of HLA B27 among AS patients (79 per cent) was significantly greater (P less than 10(-10)) than among the controls (three per cent). Ashkenazi Jews showed a higher relative risk than non-Ashkenazi Jews and Arabs. Six of the AS patients were offspring of consanguineous marriages, but this was not higher than expected and therefore no indication for rare recessive genes contributing to the disease could be demonstrated. This study confirms the association between AS and B27, and extends our knowledge to the heterogeneous population of Israel not previously investigated. A significant but weak association of B27 with RA was noted. No correlation of other HLA antigens with RA or OA was observed.


Distribution of HLA B27 and ankylosing spondylitis in the Hungarian population. On the basis of (a) our epidemiological studies of ankylosing spondylitis (AS) (males 0.4 per cent, females 0.08 per cent), (b) typing of 352 normal persons (frequency of HLA B27 = 12.78 per cent), and (c) typing of 55 AS patients (frequency of HLA B27 = 92.73 per cent), we have calculated the prevalence of AS for the total Hungarian population over 15 years of age. Among males with the B27 anitgen, AS occurs in 2.9 per cent, and in B27 positive females 0.58 per cent. In the population without the B27 antigen, the prevalence of the disease is 0.03 per cent and 0.006 per cent respectively. The quotients of these data show that a person with the B27 antigen has approximately 87 times greater risk of developing AS, than does a person of the same sex without this antigen.


HLA B27 in ankylosing spondylitis: differences in frequency and relative risk in American Blacks and Caucasians. Twenty-eight HLA alleles of the A and B loci were determined in 23 American Blacks and 50 Caucasians with primary ankylosing spondylitis (AS). The prevalence of HLA B27 was significantly increased in American Black patients (48 per cent) vs Black controls (two per cent), but was much less than the 94 per cent found in Caucasian patients (controls eight per cent). The lower prevalence of B27 in American Black patients vs Caucasian patients was significant (p less than 0.001), and indicated that susceptibility to AS is not as closely associated with B27 in Blacks as in Caucasians. No other HLA antigen was significantly associated with AS in either racial group. Among B27 positive individuals, the relative risk of developing AS was significantly lower in American Blacks than in Caucasians. These data indicate that for diagnostic purposes, the absence of B27 is less important in ruling out AS in Blacks than in Caucasians.


HLA B27 and sacroiliitis in Pima Indians--association in males only. Since HLA B27 and ankylosing spondylitis are more common in American Indians than other Americans, the association between radiological sacroiliitis (SI) and HLA B27 was examined among the Pima Indians. SI (grade II to IV) was found in 20 per cent of randomly selected Pima adults. B27 was present in 50 per cent of males, but in only nine per cent of females with SI, vs a population frequency of 18 per cent. Among first degree relatives of probands with SI, radiologic changes were found no more frequently than in a randomly selected age matched control series. Uveitis occurred in 18 per cent of the B27 positive subjects, but in only five per cent of the B27 negative subjects (p less than 0.05). B27 was associated with SI and uveitis in Pima males, but no association was demonstrated between B27 and SI in Pima females.


Family studies and HLA typing in ankylosing spondylitis and sacroiliitis. The families of 21 ankylosing spondylitis (AS) and 16 sacroiliitis (SI) patients were investigated and typed for HLA markers. The association of HLA B27 with AS was confirmed, but no strong evidence for the same or other HLA markers being associated with SI was found. Inheritance patterns in families were analyzed according to the multifactorial and monofactorial models. It is proposed that a major gene associated or interacting with the B27 product controls the susceptibility to AS, and that this gene behaves as a dominant with incomplete penetrance. The problem as to whether linkage disequilibrium maintained by selective pressure, or functional epistasis between the "disease gene" and the B27 antigen may be the acting mechanism of association, remains to be elucidated.


Ankylosing spondylitis without HLA B27.

Ankylosing spondylitis without HLA B27. A series of 187 patients with definite ankylosing spondylitis was studied. Seventeen of these lacked the antigen HLA B27, but had signs and symptoms identical to the 170 HLA B27 positive patients. The study provides additional confirmation that other factors besides HLA B27 are involved in the development of ankylosing spondylitis.


Histocompatibility antigens and other markers in ankylosing spondylitis and inflammatory bowel diseases. An increased frequency of HLA B27 was confirmed in a series of 118 patients with ankylosing spondylitis. This was significantly higher in patients who acquired the disease at an early age. Other deviating antigen frequencies were found to be due to linkage disequilibrium. An increased frequency of antigen BW16 was noted in B27 negative patients. In ulcerative colitis, a significantly raised incidence of A11 was found, as well as an increased frequency of B18 in Crohn's disease. The only deviating frequency from controls for blood and serum groups was in blood group Kell, which was increased in Crohn's disease.


HLA B27 in regional enteritis with and without ankylosing spondylitis or sacroiliitis. The incidence of B27 in patients with ankylosing spondylitis associated with regional enteritis was significantly lower than in ankylosing spondylitis without inflammatory bowel disease. It was significantly higher, however, than in a control group of blood donors. The incidence of B27 was found to be nil in patients with regional entertitis without ankylosing spondylitis, as well as in patients with regional enteritis and asymptomatic radiographic sacroilitis. Conversely, all patients with regional enteritis, positive for B27, developed ankylosing spondylitis.


Psoriatic arthritis and HLA antigens.

Psoriatic arthritis and HLA antigens. HLA groups including the characteristics of 25 antigens were determined in 108 patients suffering from psoriatic arthritis. These included 18 patients with central forms (pelvospondylitis), and 90 patients with peripheral forms (polyarthritis with or without sacroiliitis). Analysis of the results leads to the following conclusions: central psoriatic arthrisis is strongly associated with B27 and BW38, less closely with B13 and slightly with BW17. Peripheral psoriatic arthritis has the same relationship with the HLA system as has psoriasis without arthropathy.


"Sausage-like" toes (dactylitis) and HLA B27. When "sausage-like" swelling of the toes occurs in the absence of clinical Reiter's disease or psoriasis, definite classification is hardly possible. Nine patients with isolated "sausage toes" (dactylitis) and minor involvement of other joints are described. The relationship between this syndrome and HLA B27 permits better classification and more rational treatment.


Coexistence of rheumatoid arthritis and ankylosing spondylitis--report of 10 cases. The distinction between rheumatoid arthritis (RA) and ankylosing spondylitis (AS) has hitherto relied on supporting evidence of characteristic radiological changes in the sacroiliac joints, together with the Rose-Waaler and Latex tests for rheumatoid factor (RF). This distinction has remained incomplete since some 30 per cent of patients with RA may have sacroiliitis, a similar proportion having negative routine tests for RF. The identification of the HLA B27 antigen, present in 90 per cent of cases of AS and six per cent of the normal population, has enabled a number of cases to be recognized in which both diseases appear to co-exist. Ten cases are described in which either RA appears to have developed in patients with AS, or AS in patients with RA. They all fulfil the ARA diagnostic criteria for classical RA, and the criteria for classical AS. The likelihood of these two diseases occurring by chance in an individual might be of the order of 1:50,000 to 1:200,000.


HLA and juvenile chronic polyarthritis.

HLA and juvenile chronic polyarthritis. HLA antigens were determined in 38 patients with juvenile chronic polyarthritis (JCP) and in 1,000 normal controls. The incidence of the antigen B27 in JCP (55.3 per cent) was higher than in the controls (6.7 per cent). Patients with JCP could be further subdivided into four groups: (1) JCP evolving to ankylosing spondylitis (AS) (N = 3); (2) JCP with sacroiliitis (SI) (N = 18); (3) JCP without SI (N = 10); and (4) juvenile rheumatoid arthritis (JRA) characterized by positive seroloty (N = 7). Groups 1 and 2 had a high incidence of B27 (20/21), as contrasted to groups 3 and 4 (1/17). The sex distribution in groups 1 and 2 was similar to that found in AS in adults, whereas in groups 3 and 4 it was similar to that found in rheumatoid arthritis in adults. It is concluded that if B27 positives develop JCP, they also have a high risk of developing SI and acute uveitis. The authors propose using the term Still's disease for the overall group of children presenting with JCP before the age of 16 years. Subsequent follow-up permits classification into juvenile AS, JCP with SI, JCP without SI, or as JRA.


HLA phenotypes in patients with rheumatic fever, rheumatic heart disease, and Yersinia arthritis. HLA phenotypes were determined in 109 patients with rheumatic fever (RF), 48 patients with Yersinia arthritis (YA), 86 patients with chronic rheumatic heart disease (RHD), and 326 controls. There was an increased frequency of Bw35 in RF as compared to controls (Pc less than 0.01), while B18 was more common in patients with acute carditis than in those without (P less than 0.02). HLA frequencies in RHD did not differ significantly from those in controls. A significant correlation between B27 and YA was observed (Pc less than 0.001). Carditis or iritis occurred in 10 of 31 B27 positive YA patients but in none of 17 B27 negative patients. Eleven of 31 B27 carriers had signs of urological inflammation vs one of 17 B27 negative patients. In the B27 positive YA group, there were three men with previous ankylosing spondylitis and one with Reiter's syndrome (RS). Also, four patients developed RS during Yersinia infection. This simultaneous occurrence of three B27 positive rheumatic diseases suggests that a patient with one "B27 positive rheumatic disease" is more susceptible to other diseases or symptoms known to be associated with the B27 antigen.


Parallel studies of HLA antigens in patients with rheumatic heart disease and scleritis: comparisons with three control populations. Parallel studies were carried out on HLA antigens in patients with rheumatic heart disease and scleritis. Comparison with one control population showed a significant excess of BW15 in both disease samples, while a comparison with two other control populations, showed the excess not to be significant. Possible reasons for this discrepancy are discussed, together with the effect on statistical significance of a small percentage of false antigen assignments in one of the samples. A small systematic serological false assignment of an antigen can, by itself, produce a significant result more easily if the frequency of the antigen being detected is low than if it is high. It is suggested that this effect may contribute to the discrepant significant results obtained by different workers in some HLA and disease studies.


HLA antigens in Forestier's disease, ankylosing spondylitis, and polyarthrosis of the hands. HLA antigens were studied in three different groups of 50 patients each. These included (a) Forestier's disease, (b) ankylosing spondylitis, and (c) polyarthrosis of the hands. HLA typing included 12 specificities from locus A and 15 from locus B, the frequencies being compared to those in 700 normal controls. No significant differences were found in the frequency of distribution between the polyarthrosis patients and the normal population. In patients with Forestier's disease, B5 was increased, but this was not a significant difference. The antigen B27 was present in 94 per cent of patients with ankylosing spondylitis, confirming previous studies.


Increased frequency of HLA B8 in hyperostotic spondylosis. HLA antigens were determined in 50 patients with hyperostotic spondylosis (Forestier's disease), and compared with 1244 normal controls. There was no significant difference in the distribution of HLA B27 between the two groups. However, there was an increased incidence of HLA B8 among the patients with hyperostotic spondylosis (42 per cent), as compared to the normal controls (17.5 per cent). This difference was statistically significant (p less than 0.005). Sixteen of the 50 patients with hyperostotic spondylosis had evidence of diabetes mellitus, 12 of whom also had the HLA B8 antigen. Thus patients with hyperostotic spondylosis have an increased incidence of HLA B8, associated with an increased incidence of diabetes mellitus.


HLA antigens and alkaptonuria.

HLA antigens and alkaptonuria. Thirty members of Family C, which included cases of alkaptonuria and ochronosis, were investigated by means of HLA typing and homogentistic acid determination. The antigen HLA B27 was found in one of the two members of the first generation, in all eight members of the second generation, and in 15 of the 21 members of the third generation. Eight of 10 subjects suffering from alkaptonuria, with or without ochronotic arthropathy or spondylosis, had B27. The gene for B27 is not the gene determining homogentisic acid oxydase synthesis but this study suggests that it may be associated or linked to it.


Spontaneous rupture of the urinary bladder.


Thymic cysts of the mediastunum.

Thymic cysts of the mediastunum.


Cri du chat: clinical and cytogenetic findings in two older patients.


The systemic effects of lithium.

The systemic effects of lithium.


Electrocoagulation of villous adenomas of the rectum.


Permanent contraception.

Permanent contraception. Male and female sterilization has become the 2nd leading form of contraception in recent years.  The procedures are discussed with focus on the emotional sequelae of either operation.  Both members of the marital unit should be involved in the decision for permanent contraception.  The sterilizing procedure itself should be performed on the most motivated of the pair.  Motivation, psychological stability, religious accord, and marital stability are important prerequisites for a successful procedure.


Echocardiography: experience in a pediatric office.


Gastrocolic fistula in association with benign peptic ulcer.


Prescribing habits in practice.

Prescribing habits in practice.


Preventive health practices among MSNJ physicians.


Active tuberculosis among the inner-city indigent. Perspective on the 1970's.


Evaluation for hip dysplasia in infancy. The significance of X-ray in diagnosis.


Familial erythrophagocytic lymphohistiocytosis.


Meconium aspiration and tracheal suction.


Case reports: Symptomatic cluttering: an overlooked neurologic sign.


Near drowning in fresh water.

Near drowning in fresh water.


Benign sacrococcygeal teratoma.

Benign sacrococcygeal teratoma.


Radiation complications--are they manageable?


A new complex Ph1 translocation involving three chromosomes. A case of Ph1-positive chronic myelocytic leukemia associated with a complex translocation involving chromosomes No. 9, No. 17, and No. 22 was described. All cells in the marrow contained this complex karyotypic picture, and no cells with the usual type of Ph1 translocation were present. With banding analysis, the karyotypic picture consisted of 46,XX,t(9;22;17)(q34;q11;q21). The published cases of usual and complex Ph1 translocations were summarized in tabular form and some aspects of the translocations discussed.


President's message "retrospect".

President's message "retrospect".


Treatment of Gilles de la Tourette syndrome.


Pulmonary osteoarthropathy. Association with mesenchymal tumor metastases to the lungs. Six of 18 patients with sarcomatous tumors metastatic to the lung had hypertrophic pulmonary osteoarthropathy (HPO), and, in three patients in whom tumor regression was achieved by cytotoxic chemotherapy or surgery, the clinical and radiologic changes of HPO were reversed. All six patients had large mass lesions (greater than 5 cm) that impinged on the pleural surface, and the pathophysiologic mechanism resulting in the clinical syndrome of HP may be related to the anatomic relationship of the tumor and the pleura. The use of radionuclide scanning to detect HPO in the absence of roentgenographic signs or clinical symptoms is discussed.


Failure of mice infected with Rauscher leukemia virus (RLV-A) to develop splenic colonies. A progressive increase occurs in the CFU-S/10(6) spleen cells with the development of RLV-A-induced erythroleukemia. In addition, alteration of the spleen by the RLV-A appears to prevent the seeding and development of spleen colonies in infected mice.


Prognostic significance of the regional lymph nodes in osteosarcoma. This study was undertaken to find out if there are any factors of prognostic significance that can help the surgeon in the management of osteogenic sarcoma. One hundred and thirty-nine cases of osteogenic sacrocma were treated during a 30-year period and their survival figures have been analysed with respect to age, sex, extent of disease, previous treatment, and value of lymphadenectomy. We found that patients in whom the lymph nodes were preserved had a better survival as compared to patients in whom the lymph nodes were removed en bloc with the primary tumour. This further supports our contention that the regional lymph nodes have an important role to play in the immune response against osteosarcoma. The experimental work of the cytotoxic action of regional lymph node cells against osteosarcoma cell lines has been studied in our laboratory. The results of this study stimulated us to undertake this retrospective analysis.


Urea in the management of advanced malignancies (preliminary report). Twenty cases of advanced (Stage III) cancer of the cervix were treated with intratumour injection of 40% urea solution and local application of 50% urea ointment. Sixty percent of these patients had beneficial effect and in 25% of the patients there was minimal response. Patients with multiple secondaries in liver had very good symptomatic relief with oral urea. Urea therapy is a simple, cheap, and safe method of treating advanced stages of cancer, where very little can be done by the accepted lines of treatment such as surgery or radiotherapy. This line of treatment can be practiced even in a consulting room or primary health center.


Coping strategies of two adolescents with malignancy.


Grand rounds: orthopedic and pathologic aspects of Paget's disease.


Annual address of the president 'the loom'.


Transmural pacing for the management of heart block refractory to presently available pacing techniques.


Intraocular lens implantation with extracapsular cataract extraction.


The New Zealand pituitary bank.

The New Zealand pituitary bank.


The aetiology of mental retardation.

The aetiology of mental retardation. The aetiological factors related to mental retardation are tabulated and discussed. The data comprise part of the findings of a large scale sociological survey of mental retardation and show that approximately 65% of subjects classified as "mentally retarded" have a specific diagnosis.


Low cholesterol diet and atheroma.

Low cholesterol diet and atheroma.


Responsibility, health and medical practice.


Fatal road accidents in Otago.

Fatal road accidents in Otago. Fatal road accidents which have occurred in Otago between 1971 and 1975 have been studied. The series represents approximately 5% of the national toll. The main purpose of the study has been to analyse background data with a view to discovering causative factors leading to prevention. The study confirms the importance of alcohol, low seat-belt usage, speed, and youth as significant factors. The importance of the driver environment is also highlighted. The analysis shows a low incidence of alcohol among motor cyclists. There were a significant number of pre-school age pedestrian deaths in the series. Only six cyclists were killed in the five-year period.


The effect of carpet on the number of microbes in the hospital environment. Airborne bacteria were found to be present in similar numbers in two blind corridors whether the floors were carpeted or covered with sheet vinyl. Fewer bacteria were found at the ends of each corridor after 3.6m of carpet had been installed at the entrance. There was no difference in the types of organisms isolated from the air or floor with either carpeted or vinyl floor coverings. No statistical correlation was found between the numbers of fibres and bacteria in the air.


Chronic sodium monofluoroacetate (compound 1080) intoxication in a rabbiter. A rabbiter who was repeatedly exposed to sodium monofluoroacetate (compound 1080) developed renal failure and evidence of other organ damage. This is believed to be the first report of chronic sodium monofluoroacetate intoxication occurring in man.


Water-logged women--idiopathic oedema.

Water-logged women--idiopathic oedema. The clinical details of ten women with idiopathic oedema are presented and one is discussed in detail. The condition is characterised by an excessive diurnal weight gain with the development of peripheral oedema when the patient is in the upright position. Treatment is frequently unsatisfactory but should include, a full explanation, weight reduction, moderate sodium restriction, psychiatric assessment, no smoking and avoidance of prolonged standing. If this approach fails the smallest effective dose of a mild diuretic agent may be prescribed during an episode of fluid retention.


Antenatal screening for gonorrhoea in Christchurch. All antenatal patients presenting over a 12-month period had a cervical swab taken to screen for gonorrhoea. Among 1135 patients the incidence of infection was 1.3 percent for unmarried women and 0.4 percent for those married. The size of the gonorrhoea problem in Christchurch and the need for suitable screening programmes are outlined. It is believed that a screening programme such as this complements the function of a sexually-transmitted diseases clinic in combating gonorrhoea.


Internal iliac artery aneurysms.

Internal iliac artery aneurysms. Information on 10 patients who presented because of aneurysms of the aorto-iliac segment of the arterial tree has been reviewed. Problems caused by aneurysmal dilatation of the internal iliac artery are discussed and a technique for the management of aneurysm at this site is described.


The leucocyte ascorbic acid levels of children in hospital. One-third of a group of young children admitted to hospital had levels of ascorbic acid indicative of a deficiency state. The average haemoglobin of these children was 91g/1, and there was also evidence of iron deficiency.


The excretion pattern of urinary fluoride in fertiliser workers. An investigation was carried out into urinary fluoride levels of men working at an Auckland fertiliser works where the average of 45 workers was 2.2mg/1 (range 0.6-7.5) with the 12 men in the Manufacturing Department having an average level of 4.2mg/1 (range 1.5-7.5). Radiographic examinations of the skeletal system of the three subjects with the highest urinary fluoride levels showed no evidence of fluorosis. Early morning spot samples were found to be a reasonable indication of total 24-hour fluoride excretions.


The deadly cigarette.

The deadly cigarette.


Towards health service re-organisation.

Towards health service re-organisation.


Patterns for learning.

Patterns for learning.


Skin infection and nephritis.

Skin infection and nephritis.


Hydatid disease in New Zealand: changing patterns in human infection, 1878-1972. Temporal trends in the prevalence and incidence of human hydatid disease in New Zealand were described with respect to the different phases in echinococcal control. The prevalence rate of human hydatid disease increased steadily from 1878 to 1954 despite some educational and legislative measures aimed primarily at controlling canine infections. There was not a marked reduction in incidence in young children and in Maoris until after the intensification of control activities by the voluntary committees in 1957, and the decline in incidence in all groups was maintained during the continuing national control programme. The incidence data were analysed by age, sex, race and residential history of patients, and by the site of hydatid cysts. Maoris were found to be at an unusually high risk of infection with Echinococcus granulosus, with incidence rates six times higher than those in non-Maoris.


A geriatric day hospital: the first year. The establishment and operation of a day hospital in its first year is reported. Increasing emphasis on disability in the community rather than age has resulted in more effective management of patient problems. Not only is the day hospital inexpensive but also it concentrates on the real needs so that the majority of the patients with motivational, social or physical disabilities can continue to function as home based members of the community.


Post-infectious encephalopathy simulating functional psychosis. Three cases of post-infectious encephalopathy are presented in which behaviour changes occurred in the absence of neurological abnormality during convalescence from an influenza-like illness. The symptoms included aggresive behaviour, sleep reversal, sexual disinbition and a catatonic schizophrenia-like state. The prognosis was good.


Endocarditis due to Citrobacter diversus developing resistance to cephalothin. A 43-year-old man was admitted with acute bacterial endocarditis. Citrobacter diversus susceptible to cephalothin was isolated from blood cultures. Citrobacter diversus was later isolated from the aortic valve cusps at surgery, but this isolate was resistant to cephalothin. Laboratory testing showed that the Citrobacter diversus recovered from blood cultures was capable of producing mutants highly resistant to cephalothin.


What are general practitioners' rooms like?. Ninety-seven general practices in a representative area of New Zealand were surveyed. Basic data on current facilities was collected. Factors considered included toilets, wash-basins, general cleanliness and ease of access. Unsatisfactory conditions prevail in many practices and the major areas of neglect are discussed.


Concerning child abuse.

Concerning child abuse.


Belief: An essential factor in modern therapy.


An address.

An address.


Presidential address.

Presidential address.


Memorial oration.

Memorial oration.


The future of the general physician.

The future of the general physician.


Will you stand and be counted in the struggle for mental health?


Reporting on midwifery.

Reporting on midwifery.


Evaluating the quality of nursing care.

Evaluating the quality of nursing care.


The occupational health service for employees Gisborne Hospital Board.


Psychological stress associated with coming into hospital.


Remission induction with daunomycin, vincristine, and prednisone in adult acute lymphocytic leukemia. Prednisone plus vincristine plus daunomycin induced complete remission in nine adults with acute lymphocytic leukemia. The median duration of complete remission will be between 14 and 18 months, with three patients remaining in hematological remission at 10+, 11+, and 18+ months. The median survival will be between 19 and 23 months, with all patients surviving at least one year. This remission induction regimen produced rapid complete remission in adult acute lymphocytic leukemia (ALL) with minimal toxicity, and could be administered predominantly on an outpatient basis.


Rehabilitation of the individual with oral-facial anomalies and communicative disorders. The Lancaster Cleft Palate Clinic was organized for the purposes of establishing, equipping, maintaining, and operating an institution, hospital for special services, or clinic for the treatment of all defective formations of the mouth, teeth, palate, and face; for the establishment and operation of a school for the retraining of those with speech or hearing defects associated with or without oral defects; and for the conduct of research in, and publication of information relative to, the above fields.


Mandibular staple bone plate implant and prosthesis. Report of a case. A case treated by the mandibular staple implant fastener system and prosthesis is presented. The phases of therapy, involving preprosthetic surgical preparation, construction of conventional dentures, implantation of the orthopedic appliance, preparation of an interim postsurgical prosthesis, and construction of the definitive prosthesis, are described and illustrated.


Evaluation and comparisons of biodegradable substances as osteogenic agents. This study compared the osteogenic potential and tissue compatibility of biodegradable copolymers--PLA/PGA--and a biodegradable ceramic--Ca3(PO4)2. These compounds were placed in experimentally created defects in rat tibias, both in combination and singly, and evaluated at 14, 28, and 42 days. The ceramic served as a format to result in uniform osteogenesis throughout the defect. The copolymer implants resulted in a more gradual bone formation, progressing slowly from the would peripheries. The ceramic and copolymer combination behaved little differently from the copolymer alone. All experimental materials were extremely tissue tolerant, with minimal inflammation and no foreign-body reactions.


Uncontrolled growth of the alveolar processes of the maxilla and mandible in a 20-month-old child. Report of a case. An unusual case of overgrowth of the alveolar processes of the maxilla and mandible of a 20-month-old child has been presented. Photographs and roentgenograms and the microscopic report on the tissue taken from one of the processes at the postmortem examination are submitted.


Epidermolysis bullosa dystrophica polydysplastica. A case of anesthetic management in oral surgery. Epidermolysis bullosa dystrophica is a rare disease that affects the skin and mucous membranes. Manifest at birth, it is characterized by poor dentition, esophageal strictures, syndactyly, and severe chronic anemia. Our 12-year-old patient required extensive dental treatment which necessitated overcoming problems of anesthesia as well as developing a technique of management that provided maximum safety and a minimum of discomfort. Transmission electron microscopy of sections of the gingiva revealed possible degenerative collagen fibers and an interrupted basement membrance. Anchoring fibrils normally found in the connective tissue beneath the epithelium were absent.


Inheritance patterns in recurrent aphthous ulcers: twin and pedigree data. Nineteen sets of twins and 318 individuals from six families were examined and interviewed in order to ascertain whether a genetic component could be established for recurrent aphthous ulcers (RAU). While no specific mode of inheritance could be established, the data strongly support the hypothesis of a genetic factor involved in susceptibility to the disease.


alpha Thalassemia minor trait accompanied by clinical oral signs. Report of a case. Alpha thalassemia minor trait is but one of numerous hemoglobinopathies. In this condition, it is generally conceded that there are no clinical symptoms. A case is reported in which all the laboratory criteria for the presence of this disease were found, accompanied by clinical signs of pronounced anterior maxillary protrusion, severe generalized alveolar bone loss, and an area of radiodensity resembling that found in infarcted bone in other hemoglobinopathies.


Routine biopsy leading to the diagnosis of strongyloidiasis. Routine removal of a third molar, together with histopathologic soft-tissue examination and a high index of suspicion, led to the diagnosis of a generalized Strongyloides stercoralis infestation. The case of a patient with this unusual combination of pathologic entities is presented.


Abnormal immune response to infection of the dental pulp. Report of a case. The following case illustrates an unusual response by the dental pulp to caries in an immunodeficient patient. The patient, a 14-year-old boy, suffered from thymic dysplasia and IgA deficiency. Deep dentinal caries produced relatively little destruction of the pulp and only a mild inflammatory response, in spite of the presence of a large number of bacteria in the pulp chamber. The patient's immunologic disorder was diagnosed as hereditary combined immunodeficiency of unknown type. However, it may have been a variant of Nezelof's syndrome.


Correlation of scanning electron microscope and light microscope findings in uninflamed and pathologically involved human pulps. The use of the scanning electron microscope has been investigated as a modality for pulpal diagnosis. Findings in ten normal, inflamed, and necrotic human pulps were correlated with light microscope findings. Inflammatory cell identification by SEM was found to be difficult. The inflammatory cells, especially lymphocytes, appeared in varying forms in SEM. Polymorphonuclear leukocytes and macrophages had similar surface structure. Degenerative changes of cells and fibers and dystrophic mineralizations were graphically depicted by SEM.


The affected and infected pulp.

The affected and infected pulp.


Endodontic emergencies.

Endodontic emergencies.


Effect of aging on the mechanical properties of hand-rolled gutta-percha endodontic cones. This study examined the effect of storage, for periods varying up to 24 weeks and at temperatures from -12 degrees C. to 50 degrees C., on the compression, tension, torsion, and bend properties of size 100 hand-rolled gutta-percha cones. All of the properties changed during storage, with the largest changes occurring at the highest temperatures, the smallest changes occurring at the lowest temperatures, and the greatest rate of change occurring during the initial 40- to 60-day storage period. All of the cones tested were subjectively found to be clinically usable. Since ideal characteristics or standards for mechanical properties are nonexistent, assessment of the changes is speculative and arbitrary. The condition of cones at which clinicians decide they are unusuable also varies widely. Continual study of this problem is indicated and important.


Evaluation of the utilization of the supine position in intraoral radiology.


The use of image intensification in sialography. The application of image intensification to sialography is presented. The advantages of better visualization of noncalcified or poorly calcified pathologic conditions, more accurate localization of strictures and soft-tissue tumors, and determination of gland function are discussed. These advantages over the conventional static sialographic technqiue would appear to outweigh the disadvantage of some increased exposure of patient and operator to radiation. In the authors' experience image intensification is the technique of choice in the majority of cases.


Unusual static bone cavity.

Unusual static bone cavity.


Selective erythroid aplasia during therapy for acute lymphoblastic leukemia. Selective erythroid aplasia occured in two children receiving chemotherapy for acute lymphoblastic leukemia. The aplasia was reversible on cessation of therapy in one patient, and the other child remains transfusion-dependent on chemotherapy. Possible causes of pure red cell aplasia are discussed.


Loffler's endomyocardial fibrosis, eosinophilia, and acute lymphoblastic leukemia.


Childhood leukaemia.

Childhood leukaemia.


Spatial configuration of ordered polynucleotide chains: a novel double helix. Structural details are reported for a novel right-handed polynucleotide double helix stabilized by vertical base stacking and hydrogen bonding. The primary difference between this duplex and the familiar Watson-Crick horizontally stabilized polynucleotide complex arises in the glycosyl rotation of the heterocyclic bases with respect to the sugar-phate backbone. In the vertical double helix the bases adopt a fairly unusual (although not sterically impossible) high-anti conformation, while in the horizontal models deduced from x-ray analyses the bases occur in the favored anti arrangement. The base pairing scheme in both duplexes is the standard Watson-Crick type. The vertical double helix is demonstrated to be a plausible model for the unusual complex formation observed between complementary synthetic polycyclonucleotides (the bases of which are fixed by a chemical linkage in the high-anti orientation) and also a potential alternative ordered structure available to naturally occurring nucleic acid systems that can adopt both anti and high-anti glycosyl arrangements.


Circular dichroism of adenosine dinucleotides. The circular dichroism and absorption spectra of (3'-5')ApA, (5'-5')AppA, and (5'-5')ApcpA [diadenosine(5'5') pyrophosphonate] under various ionic coditions and at various temperatures are reported. Temperature studies reveal that under the same ionic strength and solvation conditions the probability of base-base interaction is ApA greater than AppA greater than ApcpA. It is found that increasing the molar refractivity of the solvent decreases the base-base interaction for both ApA and AppA and that both compounds proceed to a monomeric state in solvents of high molar refractivity. Solvent effect studies also indicate that a major percentage of the driving force for the base-base interaction can be accounted for by London dispersion forces. Low ionic strength appears to favor the base-base interacted conformation. All compounds tend toward the same noninteracted form at high temperatures. Plots of [theta]lambda against X (where X is an experimental parameter) were constructed in order to obtain information concerning which transitions might be undergoing oscillator coupling. To a first approximation, transitions coupled to each other should have very similar deta[theta]lambda/detaX for the experimental range of X. Applying this technique to the experimental data yielded information concerning possible transition coupling.


Energy-structure correlation in metalloporphyrins and the control of oxygen binding by hemoglobin. The contribution of the porphyrin skeleton to the potential energy surface metalloporphyrins is calculated by the semiempirical method of quantum mechanical extension of the consistent force field to eta electron molecules. This calculation makes it possible to correlate the observed structure of metalloporphyrins with the strain energy of the porphyrin skeleton. It is found that the out-of-plane metal displacement in pentacoordinate heme systems is due to both the restricted size of the porphyrin hole and the "1-3" steric interaction between the axial ligand and the heme nitrogens. The main components of the active site of hemoglobin are simulated by a histidine-heme-oxygen system. The energy surface of this system provides a quantitative explanation for the control of ligand binding by hemoglobin. It is shown that the heme acts as a diaphragm, designed to provide simultaneous binding to the histidine and the sixth ligand under the steric requirements of the 1-3 interactions. The dependence of the hemoglobin potential surface on the distance between the proximal histidine and the heme plane is evaluated for the R and T states, using the calculated heme potential and the observed energy of heme-heme interaction.


Regulation of growth hormone messenger RNA by thyroid and glucocorticoid hormones. Thyroid and glucocorticoid hormones stimulate growth hormone synthesis in cultured rat pituitary cells (GC). We have compared changes in growth hormone production and mRNA in these cells. Triiodothyronine (10 nM) and dexamethasone (1 micron) stimulated increases in growth hormone production by 2.5- and 3.8-fold, respectively. There were corresponding increases in the capacity of RNA from hormone-treated cells to direct synthesis of pregrowth hormone in a wheat germ cell-free translation system, suggesting hormone-regulated increases in growth hormone mRNA. Hormone-induced changes in mRNA were also demonstrated by determining the kinetics of hybridization of a cDNA probe prepared from RNA enriched (about 70%) for growth hormone translational activity with RNA from control and hormone-treated cells. These results suggest that thyroid and glucocorticoid hormones can regulate growth hormone production by influencing the levels of its mRNA.


Synthetic peptides with the biological activities and specificity of human C3a anaphylatoxin. Two peptides identical to the COOH-terminal sequence of human C3a anaphylatoxin and two analogs were synthesized by the solid-phase method and tested for biological activity. The synthetic COOH-terminal octapeptide, C3a-(70-77) or Ala-Ser-His-Leu-Gly-Leu-Ala-Arg, caused contraction of guinea pig ileum and uterus, release of vasoactive amines from rat mast cells, and increased vascular permeability in guinea pig and human skin. On a molar basis, the synthetic octapeptide possessed 1-2% of the biological activities of C3a and specifically desensitized smooth muscle to stimulation by C3a. Like natural C3a, the synthetic C3a=(70-77) was inactivated by digestion with carboxypeptidase B [peptidyl-L-lysine(-L-arginine) hydrolase, EC 3.4.12.3], which removed the essential COOH-terminal arginine. A synthetic nonapeptide [C3a-(70-77)-Gly], containing a glycyl instead of an arginyl COOH terminus, was approximately 1% as active as the octapeptide when assayed with smooth muscle. The COOH-terminal 13-residue peptide of C3a, C3a-(65-77), was equal in activity to C3a=(70-77); similarly, C3a-(65-77)-Gly expressed the same activity as C3a-(70-77)Gly. It is concluded that both the biological specificity and the activity of human C3a anaphylatoxin are determined by eight or fewer residues located at the COOH terminus of the natural protein. However, expression of full activity requires additional groups and the secondary conformational integrity of the C3a molecule.


Neurotensin: specific binding to synaptic membranes from rat brain. The binding of neurotensin to synaptic membranes from rat brain was studied at 24 degrees with the use of [3H]neurotensin. The binding was found to be highly specific, saturable, and reversible. Values for KD of 2 nM and 0.9 nM were derived from equilibrium and kinetic experiments, respectively. Virtually no degradation of neurotensin was observed in the incubation medium after exposure to synaptic membranes under the conditions of the binding studies. Competitive inhibition of [3H]neurotensin binding by partial sequences of neurotensin revealed that the addition of the residue arginine-8 to the neurotensin-(9-13)-pentapeptide increases about 500-fold the relative binding potency, whereas the remaining portion of the NH2-terminal region is mainly responsible for full pharmacological potency; the COOH-terminal leucyl residue is essential for binding.


Identification of Rauscher murine leukemia virus-specific mRNAs for the synthesis of gag- and env-gene products. Polyadenylylated mRNA isolated from cells infected with Rauscher murine leukemia virus was fractionated by centrifugation in in a denaturing sucrose gradient into different sizes. Each RNA fraction was injected into oocytes of Xenopus laevis and the virus-specific products were analyzed by immunoprecipitation with polyvalent and monospecific antisera against polypeptides of Rauscher murine leukemia virus, and then by gel electrophoresis and scintillation autoradiography. It was shown that a 35S mRNA species directs the synthesis of a precursor of the internal or group-specific antigens of the virion (the gag-gene products). A 22S mRNA species directs the synthesis of two viral envelope polypeptides and their precursor polypeptide (env-gene products). The results indicate that the gag- and env-related polypeptides of Rauscher murine leukemia virus are synthesized uncoordinately and provide evidence for open and closed cistrons on the virus-specific mRNAs.


In vitro assembly of pure tubulin into microtubules in the absence of microtubule-associated proteins and glycerol. Microtubule protein from porcine cerebrum was fractionate into pure tubulin and microtubule-associated proteins by chromatography on phosphocellulose. In agreement with previous studies, pure tubulin does not form microtubules to a significant extent at 37 degrees in normal assembly buffers, which are characterized by a low concentration of Mg2+ ions. If, however, the Mg2+ concentration is raised to approximately 10 mM, rapid and extensive self-assembly of pure tubulin into microtubules is observed, provided the tubulin concentration is above 2.5 mg/ml. At a protein concentration of 3 mg/ml, the lag period is 1.5 min and the assembly process is virtually complete after 6 min at 37 degrees. These microtubules are like normal microtubules--sensitive to calcium ions, colchicine, and low temperature.


Structural identification of the major DNA adduct formed by aflatoxin B1 in vitro. The covalent binding of the hepatocarcinogen aflatoxin B1 by rat liver microsomes to calf thymus DNA resulted in a binding level equal to one aflatoxin residue per 60 DNA nucleotides. An aflatoxin derivative-guanine adduct was efficiently liberated from DNA with formic acid. Analytical reversed-phase high-pressure liquid chromatography of the DNA hydrolysate revealed that approximately 90% of the carcinogen bound to DNA could be accounted for as a single component. Preparative high-pressure liquid chromatography was used to isolate sufficient quantities of the adduct for structural analysis from large quantities (340 mg) of DNA. A combination of spectral and chemical data indicates that the major product of the interaction of metabolically activated aflatoxin B1 and DNA is 2,3-dihydro-2-(N7-guanyl)-3-hydroxyaflatoxin B1 with the guanine and hydroxyl functions possessing a trans configuration. The structural data support the hypothesis that the putative 2,3-oxide of aflatoxin B1 is quantitatively important as an intermediate in the binding of aflatoxin B1 to nucleic acids.


Regulation of heme pathway enzymes and cellular glutathione content by metals that do not chelate with tetrapyrroles: blockade of metal effects by thiols. The trace metals nickel and platinum, which are not substrates for ferrochelatase and thus do not form heme in biological systems, were found to act similaryl to cobalt, and heme itself, in regulating heme metabolism in liver and kidney. These metals induced heme oxygenase activity in both organs with the peak of induced enzyme activity reached approximately 16 hr after single injections in rats. Both metals caused transient depression of cellular glutathione content followed by increases above normal after 12 hr in liver. Nickel and platinum were more potent inducers of heme oxygenase in kidney than in liver (10-13 times normal versus 5-6 times normal). At high concentrations, they inhibited heme oxygenase [heme, hydrogen-donor:oxygen oxidoreductase (alpha-methene-oxidizing, hydroxylating), EC 1.14.99.3] in vitro. Both were active in regulating heme metabolism only when administered in the ionic form. Complexing of the metals with sulfhydryl agents completely blocked their actions on heme metabolism. Administration of cysteine orally prior to or shortly after administration of the metals had a similar blocking effect. Nickel and platinum produced depression of delta-aminolevulinate synthase [succinyl-CoA:glycine c-succinyltransferase (decarboxylating), EC 2.3.1.37] activity in liver, but neigther inhibited this rate-limiting ennzyme for heme synthesis in vitro. Furthermore, despite the substantial decreases in cellular heme and hemoprotein contents mediated by the metal, production of delta-amimolevulinate synthase did not undergo the compensatory increase that would be expected if there were a direct reciprocal feedback relationship between cellular heme level and synthesis of this enzyme. These findings indicate that it is not necessary for metal ions to be chelated in the porphyrin ring in order to regulate the enzymes of heme synthesis and heme oxidation. Accordingly, it is suggested that the iron atom of heme is the proximately active regulator of delta-aminolevulinate synthase and heme oxygenase--actions generally ascribed to the iron-tetrapyrrole complex itself--and that the tetrapyrrole moiety of the complex functions primarily as a means of transport of the metal to regulatory sites in cells.


Involvement of histone H1 in the organization of the chromosome fiber. At high ionic strength (e.g., physiological salt concentrations) chromosome fibers are 200 A in diameter and composed of discrete globular structures that are held together by histone H1. At low ionic strength the fibers unfold and appear as the familiar chains of nucleosomes (80 A in diameter). The unfolding of chromosome fibers occurs within a narrow salt range. It results from a change in the mode of the interaction between histone H1 and the chromosome fiber and is very likely the consequence of a change from cooperative binding between histone H1 and DNA to a noncooperative binding. In the noncooperative binding state histone H1 molecules are randomly redistributed along the chromosome fiber.


Translation in vitro of rat liver messenger RNA coding for ligandin (glutathione S-transferase B). Poly(A)-containing rat liver mRNA isolated from animals injected with phenobarbital and uninjected controls was translated efficiently in a wheat-germ system. The synthesis of ligandin (glutathione S-transferase B; glutathione transferase; RX-gluathione R-transferase, EC 2.5.1.18) was detected by immunoprecipitation with a highly purified monospecific ligandin antibody and analysis by sodium dodecyl sulfate/polyacrylamide gel electrophoresis. The extent of incorporation of [35S]methionine into ligandin in the translation system was similar for poly(A)-containing messages from un-infected animals and those treated with phenobarbital.


Aminoacyl-tRNA binding at the recognition site is the first step of the elongation cycle of protein synthesis. Codon recognition occurs during protein synthesis with the aminoacyl-tRNA bound in the recognition (or R) tRNA-binding site. The recognition site is thought to be located on the external surface of the smaller ribosomal subunit distal from the interface between subunits, where the aminoacyl (A) and peptidyl (P) tRNA-binding sites are located. A molecular model describing the switching of the aminoacyl-tRNA from the R site to the A site is proposed. Details of the model include codon recognition at the R site by an aminoacyl-tRNA with its anticodon loop in the 5' stacked conformation; movement of the aminoacyl-tRNA from the R site to the A site by a switching in the anticodon loop from the 5' stacked conformation to the 3' stacked conformation; and recognition of the correct reading frame by a base-pairing interaction between the A and P site tRNAs that involves trans pairing of the invariant bases U-33 of both molecules.


Hemolysis of human erythrocytes by transient electric field. Exposure of human erythrocytes, under isotonic conditions, to a high voltage pulse of a few kV/cm leads to total hemolysis of the red cells. Experiments described herein demonstrate that the hemolysis is due to the effect of electric field. Neither the effect of current nor the extent of the rapid Joule-heating to the suspending medium shows a direct correlation with the observed hemolysis. Voltage pulsation of the erythrocyte suspension can induce a transmembrane potential across the cell membrane and, at a critical point, it either opens up or creates pores in the red cells. In isotonic saline the pores are small. They allow passage of potassium and sodium ions but not sucrose and hemoglobin molecules. The pores are larger in low ionic conditions and permit permeation of sucrose molecules, but under no circumstances can hemoglobin leak out as the direct result of the voltage pulse. Kinetic measurements indicate that the hemolysis of the red cells follows a stepwise mechanism: leakage of ions leads to an osmotic imbalance which in turn causes a colloidal hemolysis of the red cells. Other effects of the voltage pulsation are also discussed.


Dual role of interfacial phospholipid in phospholipase A2 catalysis. The results of crosslinking experiments with dimethyl suberimidate and gel filtration binding studies are used to delineate a detailed model for phospholipase A2(phosphatide 2-acyl-hydrolase, EC 3.1.1.4) action in the presence of Ca2+ on mixed micelles of Triton X-100 and phospholipid. Important features of the "dual-phospholipid" model are: (i) the use of the nonionic surfactant as an inert matrix that may influence lipid conformation but does not interact with the enzyme; (ii) the involvement of two lipid molecules in a single cycle of catalysis as an explanation for the "surface dilution" phenomenon; (iii) the requirement of an ordered reaction whereby divalent metal ion binds prior to phospholipid binding; and (iv) the induction by lipid substrate of an asymmetric dimer structure for the enzyme.


Role of DNA gyrase in phiX replicative-form replication in vitro. Preparations containing DNA gyrase activity Gellert, M., Mizuchi, K., O'Dea, M.H. & Nash, H.A. (1976) Proc. Natl. Acad. Sci. USA 73, 3872-3876] have been extensively purified from Escherichia coli. Such fractions, in the presence of ATP and Mg2+, catalyze supertwisting of relaxed circular double-stranded DNA replicative forms of a number of DNAs that results in the formation of superhelical replicative forms. Relaxed phiX174 replicative form (phiX RFIV) is not attacked by the A protein endonuclease coded for by the phiX DNA genome. After exposure to preparations of DNA gyrase, the relaxed phiX174 replicative form is converted to phiX RFI which can then be attacked by the phiX gene A protein and participate in replication of duplex phiX DNA.


Amino acid sequence of human prothrombin fragments 1 and 2. The amino acid sequence of the nonthrombin half of human prothrombin is presented. Prothrombin fragment 1 has 155 amino acid residues as compared with 156 for the bovine equivalent. Ten gamma-carboxyglutamic acid residues are at the same location in each species. Human prothrombin fragment 2 contains 118 amino acid residues, as does the similar bovine fragment. Comparing bovine and human prothrombin fragment 1 we found 131 residues to be identical (84%). In prothrombin fragment 2, 84 residues were identical (71%). Assuming a time span of 90 million years since the radiation of several orders of placental mammals, prothrombin fragments 1 and 2 incorporated one substitution site per 100 amino acid sites every 11.2 and 6.3 million years, respectively. Internal homology is acribed to partial gene duplication, with the most likely crossover point located between residues 60-61 and residues 165-166.


Proton spin-lattice relaxation of retinal rod outer segment membranes and liposomes of extracted phospholipids. A large fraction of the phospholipid protons of bovine retinal rod outer segment (ROS) disc membrane vesicles yield well-resolved nuclear magnetic resonance lines near physiological temperature. The spin-lattice (T1) relaxation rates of the resolved sharp resonance of ROS disc membranes appear biphasic above 10 degrees C. The rate of the more rapidly relaxing component of each resonance matches closely the relaxation rate of the corresponding resonances of liposomes of purified ROS phospholipids. The slowly relaxing component of each disc membrane resonance is most likely due to phospholipids whose motion is affected by rhodopsin. The primary difference in the relaxation behavior of phospholipids in the ROS membrane vesicles and ROS liposomes appears to be in T1, rather than T2, since the corresponding sharp resonances of both preparations have similar linewidths. These observations suggest that the interaction of rhodopsin with the more fluid membrane phospholipids predominantly affects relatively high frequency segmental motions, which determine T1, while having minimal effects on the lower frequency segmental motions, which influence T2. This conclusion can be rationalized by assuming that a substantial fraction of the interacting phospholipids are relatively fluid with respect to less frequent, larger amplitude segmental motions, but that the more frequent segmental motions (such as beta-coupled trans-gauche isomerizations) are significantly restricted by interaction with protein.


Disagreement between calorimetric and van't Hoff enthalpies of assembly of protein supramolecular structures. The effect of temperature on the extent of association of self-assembling protein polymers is expressed mathematically in terms of the van't Hoff enthalpy of polymerization, deltaHV.H. This quantity has been experimentally defined in two ways--from the respective temperature derivatives of the critical polymerization concentration and of the fractional conversion of protein into polymer. These two definitions are shown not to be identical, except in certain limits. In terms of both definitions, it is shown that deltaHV.H. depends not only upon the enthalpy changes but also upon the corresponding equilibrium constants for the various equilibria involved in polymer formation. This has two consequences: (i) large deltaHV.H. values may result from reactions having small calorimetric enthalpy changes; and (ii) deltaHV.H. can depend strongly on temperature. These considerations are applied to two systems for which there exist considerable experimental data--namely, hemoglobin S and tubulin. The large discrepancy between the calorimetric and van't Hoff enthalpies for the polymerization of tubulin is shown to be explicable in terms of these considerations.


Thermotaxis by pseudoplasmodia of Dictyostelium discoideum. The temperature dependence of migration rate and of the thermotactic sensitivity of pseudoplasmodia of Dictyostelium discoideum has been measured. Migration rate increases with temperature to 20 degrees, is temperature insensitive from 20 degrees to 27.5 degrees, and decreases with temperature to 29 degrees, above which point migration ceases. However, pseudoplasmodia formed from cells grown at 23.5 degrees are thermotactic only from 22 degrees to 27.5 degrees. Thus, a temperature dependence of migration rate is not sufficient to explain thermotaxis. Because random lateral movements by the pseudoplasmodia have not been observed, the measurement of the temperature gradient appears to be spatial rather than temporal, with a half-maximal thermotactic response to a temperature gradient of about 0.04 degree/cm, or 0.0004 degree across an average pseudoplasmodium. Thermotactic sensitivity is adaptive, with pseudoplasmodia formed from cells grown at 20 degrees capable of thermotaxis at temperatures lower than cells grown at 23.5 degrees.


Phosphohexosyl components of a lysosomal enzyme are recognized by pinocytosis receptors on human fibroblasts. Human beta-glucuronidase (beta-D-glucuronide glucuronosohydrolase, EC 3.2.1.31), like many other glycoprotein lysosomal hydrolases, is specifically taken up from the culture medium by human fibroblasts. Prior work has indicated that the enzyme exhibits charge heterogeneity and that "high-uptake" forms, i.e., those rapidly internalized by human fibroblasts, are more acidic than slowly internalized forms. Here we present two lines of evidence that the acidic group required for the high-uptake property of certain forms of the enzyme is a phosphate on, or in proximity to, a D-mannose-type carbohydrate. The first line of evidence was obtained from analysis of inhibition of enzyme pinocytosis by yeast mannans, phosphorylated sugars, and sugars. Mannans that contained phosphate were more potent inhibitors than those that did not contain phosphate. D-Mannose 6-phosphate was a more potent inhibitor than either D-mannose 1 phosphate or 2-deoxy-D-glucose 6-phosphate. D-Mannose and certain related sugars were weak pinocytosis inhibitors, while 2- and 4-epimers of mannose were noninhibitory. Competitive inhibition was demonstrated and the apparent Kis estimated for the following compounds: Saccharomyces cerevisiae mannan from mutant X2180-mnnl, 3 X 10(-6) M; mannan from wild-type S. cerebisiae, 3 X 10(-5) M; D-mannose 6-phosphate, 6 X 10(-5) M; L-fucose, 4 X 10(-2) M; and D-mannose, 6 X 10(-2) M. The second line of evidence comes from the observation that alkaline phosphatase [orthophosphoric-monoester phosphohydrolase (alkaline optimum), EC 3.1.3.1] treatment of human platelet beta-glucuronidase abolished its "high-uptake" activity, without diminishing its catalytic activity, and converted some forms of the heterogeneous enzyme to less acidic forms.


Do myoblasts in vivo withdraw from the cell cycle? A reexamination. The proliferative fraction of mononucleated cells in differentiating chick embryonic wing muscle (day 11) was measured following continuous infusion of tritiated thymidine into the embryonic circulation. During progressively longer intervals of infusion of the isotopically labeled precursor, the percentage of cells that enter S becomes larger, reaching 92% at the longest time period measured (21 hr). These observations suggest that until they are withdrawn into nonreplicative muscle syncytia, virtually all of the single cells in differentiating embryonic muscle remain in the proliferative pool. Earlier calculations of the size of this pool in developing muscle, based on the percentage of cells in S during a brief pulse, indicated, however, that less than half of the mononucleated cells are still replicating. We therefore compared the size of the proliferative fraction determined by continuous labeling with the calculation of this same parameter using our own pulse-labeling data. We find that the calculation underestimates the size of the proliferative pool and is, in fact, an estimate of only that portion of the cells whose generation times cluster around the average. This underestimate is particularly pronounced in differentiating muscle in which, concomitant with myogenic fusion, the distribution of G1 times (and consequently generation times as well) becomes longer and more highly variable. Our results suggest that the mode of administering the labeled DNA precursor profoundly affects the measurement of cell cycle parameters in vivo when these parameters exhibit considerable variability. The data presented here do not support the notion that any sizeable fraction of the myoblast population is withdrawn from the cell cycle for any significant period of time prior to fusion.


Inhibition of transcription and translation of globin messenger RNA in dimethyl sulfoxide-stimulated Friend erythroleukemic cells treated with interferon. The addition of appropriate doses of interferon (IF) to cultures of Friend erythroleukemic cells inhibits dimethyl sulfoxide (Me2SO)-stimulated erythroid differentiation. In this study, the synthesis of heme, hemoglobin, and globin mRNA in Me2SO-stimulated cultures, with or without IF added, was compared. Although the hemoglobin content in Me2SO+IF-treated cultures was reduced 6- to 9-fold compared to that of cultures treated with Me2SO alone, there was less than a 2-fold decrease in the amount of heme accumulated. Globin mRNA, although unchanged in size or base sequence, was reduced in content in the Me2SO+IF cultures. The level of reduction of globin mRNA was insufficient to account for the lack of globin synthesis. Thus, it appears that IF may operate on two levels--one involving the transcription of globin mRNA and the other involving its translation.


In vivo analysis of cellular replication. The number of previous cell replications that a metaphase cell has undergone in the presence of BrdUrd can be determined by the differential fluorescent patterns of metaphse chromosomes stained with Hoechst dye 33258. To examine if this technique could be applied to analyzing cell cycle kinetics in vivo, we infused Wistar rats with BrdUrd for 7.5-33 hr at concentrations of the nucleotide analog that did not inhibit cellular replication. Examination of the frequency of one, two, and three or more replication cycle cells as a function of BrdUrd infusion time indicates that cell replication times for rat bone marrow cells are relatively homogeneous. Analysis of this data with a computer simulation model produced a mean cell cycle duration of 9.2 hr, which is compatible with the fastest times obtained with radioisotope studies. These results support the potential of nonradioisotope analysis of cell replication in vivo.


Direction of active sliding of microtubules in Tetrahymena cilia. Axonemes of protozoan (Tetrahymena thermophila BIII) cilia, isolated by the dibucaine method, were treated briefly with trypsin after removal of the ciliary membranes by treatment with Triton X-100. After attachment to polylysine-coated surfaces, the partially digested axonemes remained mainly intact cylinders. Such attached axonemes can be treated with ATP, which induces microtubles sliding. ATP-treated preparations showed disrupted axonemes in which doublets had telescoped out of the original cylinders. These could be captured in place for electron microscopy after critical point drying. Images of this type were used to determine relative movement between adjacent doublet microtubules. Each doublet actively slid relative to its neighbors in a single direction, in which the polarity of force generation of the dynein arms was from base to tip.


Triiodothyronine stimulates specifically growth hormone mRNA in rat pituitary tumor cells. In a cell-free protein-synthesizing system from a rabbit reticulocyte lysate, total RNA extracted from cultured rat pituitary tumor (GH3) cells directed, in a dose-related manner, the synthesis of proteins that were precipitated by antisera specific to rat growth hormone (somatotropin) and rat prolactin. A marked decrease in growth hormone secretion and growth hormone mRNA activity was observed when cells were grown in a medium deficient in thyroid hormone. Addition of triiodothyronine in physiologic amounts both prevented and completely reversed this effect within 48 hr. Thyroid hormone had no effect on prolactin secretion or prolactin mRNA activity. These data suggest that thyroid hormone may stimulate synthesis of growth hormone through induction of transcriptional activity. The possibility of an additional effect at the posttranscriptional level has not been excluded. Although thyroid hormone is believed to have a general effect on a variety of metabolic processes, some effects, at the molecular level, may be quite selective, as indicated by the observed changes in growth hormone but not prolactin mRNA activity. The GH3 cell model is useful in the study of triiodothyronine action because of independence from secondary hormonal effects caused by hypothyroidism and because simultaneous measurement of prolactin mRNA activity serves as a unique internal control.


High-fidelity transcription of 5S DNA injected into Xenopus oocytes. Purified DNA, from Xenopus erythrocytes, containing genes for 5S ribosomal RNA (58 DNA) is transcribed faithfully when it is injected into the nucleus of a Xenopus oocyte. Full length 5S RNA of the correct sequence is transcribed from the injected DNA, and the newly synthesized transcripts hybridize predominantly with the coding strand of 5S DNA. The majority of transcripts hybridize with the gene region as opposed to the spacer region of the coding strand. Accurate transcription starts within the first 3 hr and continues for up to 4 days after injection of 5S DNA. Radioactive 5S RNA is detected in as short a labeling time as 1 hr.


Current-induced flow through living sponges in nature. Flow velocities through and immediately adjacent to the excurrent openings (oscula) were measured in eight species of marine sponges in their natural environments with a two-channel thermistor flowmeter. Flow through the oscula was positively correlated with both normal and artificially augmented ambient flow in both normally pumping and inactive animals. These results indicate that the passage of water through these sponges is, in part, induced by ambient currents.


Colony-specific territorial pheromone in the African weaver ant Oecophylla longinoda (Latreille). Major workers of Oecophylla longinoda mark their territories with persistent pheromones that are distinguishable to the ants at the colony level. Workers detecting the deposits of an alien colony respond with increased amounts of aversive and aggressive behavior, and they later recruit nestmates to the area at a higher rate. Colonies entering a field impregnated with their own scent also gain an initial advantage in warfare with other colonies. The pheromones are located at least in part in drops of rectal sac fluid deposited by workers over the territorial surface.


Genetic mapping of Rhizobium meliloti.

Genetic mapping of Rhizobium meliloti. The drug resistance factor RP4, originally isolated in Pseudomonas, was transferred to Rhizobium meliloti. In that strain, RP4 promotes conjugational transfer of chromosomal markers to form haploid recombinants. This mating system has been used to construct a linkage map of R. meliloti.


Suppression of immunoglobulin synthesis and secretion by peripheral blood lymphocytes from normal donors. Concanavalin A (Con A)-treated peripheral blood lymphocytes from healthy volunteer donors have been shown to suppress proliferative responses associated with thymus-derived lymphocytes (T-cells). The present investigations demonstrate that peripheral blood lymphocytes incubated with Con A for 48 hr can abrogate pokeweed mitogen-stimulated differentiation of bone-marrow-derived (B) lymphocytes to immunoglobulin-synthesizing and -secreting plasma cells. This effect was manifested when washed Con A-treated peripheral blood lymphocytes were added to pokeweed mitogen-stimulated cocultures containing fresh autologous or allogeneic mononuclear cells, and it did not appear to involve cytotoxicity. Parallel control cultures consisting of mononuclear leukocytes incubated for 48 hr in the absence of Con A also had immunoglobulin suppressor activity in mixing experiments. This effect, however, was most pronounced when preincubated cells were added to fresh autologous pokeweed mitogen-stimulated peripheral blood lymphocytes. Cell mixtures containing peripheral blood lymphocytes demonstrated a spectrum of immunoregulatory effects ranging from suppression to enhancement of pokeweed mitogen-stimulated immunoglobulin synthesis and secretion. Several functional subclasses of suppressor cells that reflect varying levels of specific activity have thus been demonstrated in human beings. Moreover, a degree of genetic identity appears to be required for the expression of "weak" immunoregulatory influences.


Postulated deficiency of hepatic heme and repair by hematin infusions in the "inducible" hepatic porphyrias. There is compelling, indirect evidence of hepatic heme deficiency due primarily to the respective genetic errors of the three inducible hepatic porphyrias, acute intermittent porphyria, porphyria variegata, and hereditary coproporphyria. The induction is enhanced by exogenous inducers such as barbiturate, estrogens and other "porphyrogenic" chemicals and factors, including glucose deprivation. The newer knowledge of the induction of delta-aminolevulinic acid synthetase [delta-aminolevulinate synthase; succinyl--CoA:glycine C-succinyltransferase (decarboxylating), EC 2.3.1.37] in relation to inadequate heme, and repression by heme, stimulated early trials of hematin infusions to overcome the acute relapse in the foregoing inducible porphyrias. Recently this experience has been considerably expanded, 143 infusions of hematin having been given in 22 cases. Studies of the effect on the serum concentrations of delta-aminolevulinic acid and porphobilinogen have shown a highly significant decline, often to 0, especially of delta-aminolevulinic acid. A distinct relationship to the clinical severity of the attack has been evident in the frequency and magnitude of decline of serum delta-aminolevulinic acid and porphobilinogen. This was regularly associated with objective clinical improvement.


L-3,4-dihydroxyphenylalanine-induced hypersensitivity simulating features of denervation. The manner in which dyskinesia and intermittency of neurological control had emerged late in the therapy of Parkinsonism with L-3,4-dihydroxyphenylalanine (levodopa) had suggested to us that this drug can imprint on the brain a chemical memory of its passage. The majority of authors ascribed these events to denervation hypersensitivity caused by the nigral and other lesions of the disease. By feeding levodopa to mice, however, we induced a state that simulated denervations hypersensitivity, including hyperreaction to single injections of levodopa and increased dopamine-stimulated adenylate cyclase [ATP pyrophosphate-lyase (cyclizing), EC 4.6.1.1] activity in homogenates of caudate nuclei. These phenomena were not caused by actual denervation, because the hypersensitivity declined and disappeared some weeks after the dietary levodopa was stopped.


Accelerated degradation of acetylcholine receptor from cultured rat myotubes with myasthenia gravis sera and globulins. Altered geometry of the neuromuscular junction and a decreased number of acetylcholine receptors appear responsible for the defect of neuromuscular transmission in myasthenia gravis. We have used cultured rat myotubes as a model to study in vitro the potential role of myasthenic globulins in the pathological process. Acetylcholine receptor content was assayed by the extent of 125I-labeled alpha-bungarotoxin binding, and acetylcholine receptor function was assayed by the sensitivity to acetylcholine iontophoresis. The half-life of the acetylcholine receptor was 18.5 hr in the presence or absence of control sera. Myasthenic sera and globulins produced a gradual reduction in acetylcholine receptors, as assessed by biochemical and electrophysiological techniques. The half-life in the presence of myasthenic sera was 6 hr. The accelerated turnover was unaffected by puromycin but was slowed by lowered temperature (18-20 degrees), interference with energy metabolism (2,4-dinitrophenol), and interference with cytoskeletal structures (colchicine and cytochalasin B). We found no electrophysiological evidence to suggest globulin blockade of acetylcholine access to the acetylcholine receptor. Our observations suggest that circulating globulins in myasthenia gravis may contribute to the functional defects of neuromuscular transmission by accelerating the rate of internationalization and degradation of surface membrane acetylcholine receptors.


Inhibition by anti-interferon serum of lymphocytic choriomeningitis virus disease in suckling mice. Inoculation of newborn mice with lymphocytic chloriomeningitis (LCM) virus resulted in decreased weight gain, liver cell necrosis, and death. Injection of potent sheep immunoglobulin against mouse interferon markedly inhibited these manifestations of LCM virus disease despite the fact that these treated mice had 100-fold more LCM virus in their serum. We conclude that interferon induced by LCM virus is responsible in large part for the syndrome of growth inhibition, liver cell necrosis, and death observed in LCM virus-infected suckling mice.


Association of e antigen with Dane particle DNA in sera from asymptomatic carriers of hepatitis B surface antigen. Sera containing hepatitis B surface antigen from 30 asymptomatic blood donors were assayed for e antigen (HBeAg) and antibody to e antigen (anti-HBe) by rheophoresis,. Fourteen samples (47%) had detectable HBeAg, ten (33%) had anti-HBe, and six (20%) had neither. DNA was extracted from 26 of these sera and assayed for its ability to anneal to a [32P]-DNA probe that is a copy of Dane particle DNA. All 10 HBeAg-positive samples tested contained DNA that formed specific hybrids with the DNA probe, as did one of 10 anti HBe-positive samples. Hybridization was not detected in nine sera containing anti-HBe and six sera without HBeAg or anti-HBe. Because the Dane particle is thought to be the hepatitis B virus, this association between HBeAg positivity and Dane particle DNA strongly supports the hypothesis that e antigen is a marker of the presence of the virus and, consequently, potential infectivity.


Centers involved in the autonomic reflex reactions originating from stretching of the atria. Stretching the atria in anesthetized dogs produces reflex changes in heart rate, and in cardiac and renal sympathetic nerve activity. Anemic decerebration, cord transection at C4-C5, and severance of vagal or sympathetic cardiac nerves was done to identify the pathways and centers essential for these reflexes. Stretching the right atrium produced an aceleration of the heart and a definite increase in sympathetic nerve activity. Left atrial-stretch caused biphasic responses: an initial sympathetic nerve inhibition and slower heartbeat folowed by sympathetic excitation and heart acceleration. The afferents responsible were carried mainly by the vagi; efferent neural control of the heart was mostly sympathetic. The reflex inhibition observed was integrated chiefly at the medullary level, but supramedullary structures contributed to the augmentation in sympathetic activity and heart rate. When central connections between vagal afferent and sympathetic efferent pathways were separated by cord transection, atrial stretch caused a decrease in heart rate due to reflex action through the vagal loop. After the cord was sectioned, we found that some afferent impulses from the atria traveling in sympathetic nerves produced a slight reflex augmentation of sympathetic efferent activity, though insufficient to affect the heart rate. Somatosympathetic reflexes evoked in cardiac and renal sympathetic nerves by stimulation of various somatic afferent pathways were also affected by atrial stretch indicating central nervous system interactions. Reflex responses to right atrial stretch were superimposed on accelerations of myogenic origin.


Lithium as an anti-depressant: discoveries through clinical observations.


Tuberculin dual testing: a New England pilot study.


Teachers and teaching.

Teachers and teaching.


A statistical profile of physicians issued licenses by the state of Rhode Island 1967--1976.


Scanning and transmission electron microscope study of pellicle morphogenesis. The morphology of pellicle formation was studied using correlated transmission and scanning electron microscopy. Pellicle developed on hydroxyapatite/epoxy resin splints attached to the buccal surfaces of molars and premolars in six young individuals. Splint segments were removed at intervals of 2, 4, 6, 12, 24, and 48 h. Measurements of pellicle thickness revealed that during the first 12 h considerably more material formed on the apatite surfaces than on the epoxy resin areas of the splints. This difference was equalized in 24- and 48-h specimens. Three types of pellicles could be distinguished on the basis of morphologic criteria. A globular pellicle, characterized by a consistent presence of globules of varying size and configuration, seemed to predominate in most subjects. These globules could not be mistaken for bacteria due to their dimensions, contour, and lack of cell walls. A fibrillar pellicle consisted of 3- to 7-nm-wide fibrils and frequently included some finely globular particles. A granular pellicle displayed a relatively even surface contour and did not exhibit globular or fibrillar structures. In contrast to the two other types, the granular pellicle contained distinct laminations. Apparently, the varying morphology of the early pellicle is a reflection of its complex chemical composition.


A longitudinal radiographic study of the mineralization of 2nd premolars. Odontogenesis of the 2nd premolar begins in the majority of cases at the age of 3-3 1/2 years, although this period can vary more widely than that for other permanent teeth. For this reason, aplasia of this group of teeth cannot be diagnosed as early and with the same degree of certainty. A group of 104 children aged 3-7 years in whom one or more tooth germs mesial to the 1st permanent molar were not visible in the various age groups was reexamined radiographically in the region where they apparently lacked the development of tooth germs. The second examination took place 16-24 months after the first, and a comparison was made of the two examinations. The study confirms that the 2nd premolar can be very late in developing and that the chance of this being so is greater in the maxilla than in the mandible.


Chemistry of the sulfate groups in a sulfated glycoprotein from rabbit submandibular gland. A 35S-labeled sulfated glycoprotein was isolated from rabbit submandibular glands. Acid stability studies on the 35sulfate groupings present in the intact glycoprotein gave a half-life of 45 min. Partial acid hydrolysis of the 35S-labeled glycoprotein in 0.1 M HC1 for 90 min at 100 degrees C liberated a radioactive fraction which was free from peptide and fractionated in the monosaccharide range of a Sephadex G-15 column. Examination of this fraction by paper chromatography revealed the presence of a major component having the characteristics of N-acetylglucosamine 6-0-sulfate and a minor component having the properties of N-acetylgalactosamine 6-0-sulfate. The presence of ester sulfate groups in the intact glycoprotein was confirmed by infrared spectroscopy.


Susceptibility of various microorganisms to chlorhexidine. The susceptibility to chlorhexidine of bacteria in aerobic, facultatively anaerobic and anaerobic isolates from clinical specimens of wounds, urine, saliva, and dental plaque was studied. Agar diffusion tests using 50 microng chlorhexidine discs and agar dilution tests were performed and the MIC values correlated with inhibition zone diameters. Anaerobic plaque strains were isolated and tested by the agar dilution method in an anaerobic glove box. Regression lines obtained for five agar media demonstrated a good correlation between zone diameters and MIC values. There was a broad range of susceptibility to chlorhexidine among both Gram-positive and Gram-negative strains. Low MIC values were noted for staphylococci, S. mutans, S. salivarius and E. coli, while strains of Proteus, Pseudomonas and Klebsiella were less susceptible. S. sanguis showed intermediate susceptibility with both low and high MIC values. Among the anaerobic isolates tested, the strains most susceptible to chlorhexidine were Propionibacterium and Selenomonas, While the least susceptible strains were Gram-negative cocci resembling Veillonella.


Effect of some heavy metals on protein and collagen biosynthesis in rabbit dental pulp in vitro. Cadmium, zinc, copper, and mercury, being components of dental alloys, have been tests at concentrations from 20 to 120 micronM for their effect on the incorporation of 14C-proline into various fractions of rabbit dental pulp incubated in vitro. With cadmium and zinc and increased amount of 14C-activity was recovered from the TCA-soluble pool, whereas the further incorporation into total protein and collagen, i.e. 14C-hydroxyproline, was markedly inhivited. Copper and mercury, however, reduced the amount of label in the TCA-soluble fraction. Both metals exhibited a dose-dependent inhibitory effect on the hydroxylation step in collagen synthesis, whereas for mercury only, an inhibition of the general protein synthesis was indicated. With all four metals the proportion of 14C-labeled protein and hydroxyproline recovered from the medium was reduced, the effect being most prominent with cadmium and zinc.


Lipid pattern and fatty acid composition of human palatal oral epithelium. The lipid pattern and the fatty acid composition of human oral epithelium were studied qualitatively and quantitatively with the aid of thin-layer chromatography and gas-liquid chromatography. The material studied consisted of scrapings from the mucosa of the hard palate of nine cadavers and of three volunteers. Two methods for collecting the material were used: A) the epithelium was isolated by the removal of subepithelial connective tissue from the connective tissue side and B) the epithelium from the epithelial side was carefully scraped off. The lipid pattern of the epithelium was dominated by cholesterol (25 mol %) and phosphoglycerides (total 45 mol %), while triglycerides and free fatty acids constituted 10-15 mol % each. The fatty acid compostitions of the lipids were remarkably similar to each other, although the specific characteristics of each individual lipid were still noticeable. All lipids showed a large proportion of linoleic acid and a relatively small proportion of other polyunsatured fatty acids. In several respects the lipid pattern and the fatty acid composition of the epithelium were similar to those found in other ectodermal tissues, but they exhibited a number of differences from the corresponding pattern of the mesenchymal connective tissue.


Evaluation of biologic effects of dental materials using four different cell culture techniques. The cytotoxicity of fresh and 1-day-old silicate cement, composite restorative material and zinc oxide-eugenol cement (ZOE) was tested using human epithelial cells (NCTC 2544) in four different cell culture systems: (1) 51Cr-release from prelabeled cells after incubation for 4 and 24 h in the presence of the materials. (2) Implanting the materials on an agar everlay and visualizing any cytotoxic effects after 24 h by neutral red vital stain. (3) Cell growth during 5 d in the presence of the materials. (4) Colony-forming ability after exposure of the cells for 30 min to medium previously incubated with the materials for 24 h. Freshly prepared and 1-day-old ZOE exhibited a prominent cytotoxic effect in all four systems. A less marked effect was found for the composite material in systems 2, 3, and 4, while silicate cement appeared to be the least toxic material in these three systems. Neither silicate cement nor composite showed any cytotoxic effect in system 1 based on 51Cr-release. It is concluded that the effects obtained by the cell culture techniques did not mimic the reactions obtained when the materials are tested under conditions which reflect their clinical use.


Phase content of a high copper dental silver amalgam.


Treatment of multiple sclerosis.

Treatment of multiple sclerosis.


Clinicopathological conference: sixty year old man with sudden onset of fever and coma.


Symptomatic familial Meckel's diverticulum: two case reports and literature review.


Cuirass respirator treatment of chronic respiratory failure in scoliotic patients. The results are reported of domiciliary cuirass respirator treatment, using tailor-made shells, in four patients with severe thoracic scoliosis. Three of the patients had suffered from poliomyelitis. All complained of increasing dyspnoea on exertion, ultimately interfering with almost every activity of daily life; three patients had severe acute respiratory failure necessitating urgent admission to the Respiratory Care Unit. Right heart failure was present in two. Two patients required mechanical treatment via an endotracheal tube. All the patients were discharged home with a cuirass respirator. Standard type shells were used initially with low efficiency due to the poor fit of the cuirass shell to the deformed thoracic cage. Tailor-made shells were constructed from polyester reinforced with glass fibre, modelled on plaster casts of the thoracic cage. Subjectively the patients improved greatly and were able to resume and increase many activities. One patient committed suicide for reasons unconnected with treatment but the other three patients have been doing well from the time the cuirass respirator treatment was started, respectively, 3, 6, and 10 years ago. This treatment seems particularly effective in younger patients with severe paralytic scoliosis and cardiorespiratory failure, although the possibility of using it in older patients suffering from scoliosis of other aetiology should certainly be explored.


Tumor immunity.

Tumor immunity.


The role of colposcopy in gynecological practice.


Acute ureteropelvic junction obstruction by an aberrant blood vessel.


Transvaginal repair of rectal stricture utilizing the Martius bulbocavernosus pedicle graft.