Relationship between the plasma insulin response to oral glucose and insulin-stimulated glucose utilization in normal subjects

The relationship between in vivo insulin-stimulated glucose utilization (euglycemic clamp technique) and various estimates of the plasma insulin response to oral glucose was defined in 62 subjects with normal glucose tolerance. Both the incremental insulin increase above fasting (r = 0.61) and the total integrated insulin response (r = 0.65) were highly correlated (P less than 0.001) with in vivo insulin action, and the relationship between total insulin response and insulin action remained significant (r = 0.61, P less than 0.001) when corrected for variations in total glucose response, age, and obesity. In a subset of these subjects (N = 27) we were also able to assess state of habitual physical activity by estimating maximal oxygen consumption during bicycle ergometry. A significant correlation also existed between insulin action and response in these subjects (r = 0.67, P less than 0.001), which remained significant (r = 0.65) when differences in total glucose response, obesity, age, and maximal oxygen consumption were taken into account. These data demonstrate that there is a significant correlation between insulin response and insulin action in normal individuals that can account for approximately one-third of the total variance in insulin action seen in subjects with normal glucose tolerance. Thus, determination of plasma insulin levels after an oral glucose challenge can only provide a qualitative estimate of insulin-stimulated glucose utilization.

The primary hamster kidney cell rabies vaccine: adaptation of viral strain, production of vaccine, and pre- and postexposure treatment

The hamster kidney cell rabies vaccine was investigated as a substitute for classical nervous tissue rabies vaccine. The Beijing strain of fixed rabies virus was adapted to primary hamster kidney cells (PHKCs), and four types of rabies vaccine (plain, adjuvant, concentrated, and concentrated adjuvant vaccines) were developed for human use. The potencies of the vaccines met the requirements of the World Health Organization, and these vaccines elicited rather satisfactory antibody responses in volunteers. The postexposure use of vaccine was evaluated in 301 individuals, 97 of whom had been bitten by proven rabid animals. None of the individuals contracted rabies during the observation period. After several years of field trials with both pre- and postexposure vaccines, the evidence indicates that the PHKC rabies vaccines are effective and safe for human use.

A cytogenetic study of 1000 spontaneous abortions

Cytogenetic analysis of 1000 spontaneous abortions showed 463 to have an abnormal chromosome constitution. The proportion of chromosome abnormalities varied with the gestational age of the abortus and the type of tissue cultured but was not significantly different among the five racial groups represented in the study population. It was suggested that differences in the rate of chromosome abnormalities among cytogenetic studies of spontaneous abortions were the result of methodological differences in sample selection rather than real biological variation among study populations. The only factor found to be unequivocally associated with the aetiology of chromosome abnormalities in spontaneous abortions was increasing maternal age in trisomies.

Image feature extraction using diameter-limited gradient direction histograms

Features extracted by operators which examine diameter-limited gradient direction histograms are important because they describe images of industrial workpieces efficiently and have the potential for rapid computation via special purpose hardware. When such operators are passed over an image in raster fashion, features such as the following are detected: a strong peak in the direction histogram indicating the presence of a relatively straight edge, a second strong direction indicating a corner, a wide direction group indicating a curved edge, and a uniform distribution of directions over the histogram indicating small holes. Diameter-limited optimization can be used to substantially reduce the number of pixels which have been given feature labels by such operators without losing descriptive power. Feature labels for direction histograms having a second strong direction, a wide direction group, or a uniform distribution might be retained only if all other pixels within a circular aperture have a lower bin value. Pixels with a strong direction label might be retained only if all other pixels within a circular aperture and along the gradient direction have a smaller bin value. Tracking can then be applied to the remaining strong direction pixels in the direction perpendicular to the gradient to achieve representation of edges by endpoints. Experimental results indicate that descriptions which are compatible with human interpretation can be achieved.

Gonorrhea card test: an agglutination test for uncomplicated gonorrhea

An antigen extracted and purified from Neisseria gonorrhoeae B370, type 4, was employed to sensitize charcoal particles for use in an agglutination assay of human sera for antibodies that indicate active gonorrheal infection. The screening card test is more sensitive than the fluorescent gonorrheal test-heated (FGT-H), especially in men. A simple one-step absorption improved the specificity without reducing the sensitivity of the test.