Comparative in vitro activity of semisynthetic penicillins against Proteeae

The in vitro susceptibilities of 181 isolates of precisely identified Proteeae species to five semisynthetic penicillins were determined with low and high inocula. Significant differences in susceptibility patterns among various Proteeae species to the penicillins examined were demonstrated. Providencia stuartii was clearly distinguished from Providencia alcalifaciens by its greater resistance to the antibiotics tested.

Computer-assisted rapid enzyme-linked immunosorbent assay (ELISA) in the serological diagnosis of aspergillosis

A computer-assisted method for the positive/negative discrimination of ELISA data is described. This method was applied to a rapid ELISA procedure for IgG class antibodies to Aspergillus fumigatus in which the performance time of the test was reduced to 1 h. The method gives results which compare well with those by agar gel double diffusion (AGDD). The computer-assisted reading, calculation and tabulation of ELISA results from one microtitre plate is performed in less than 2 min and permits analysis of large numbers of specimens.

Cavernous sinus thrombosis

Four patients with clinical and investigative features suggestive of cavernous sinus thrombosis are reported. Radiological investigations included computed tomography of head and orbits. The problem of clinical and radiological distinction from orbital infection is discussed. Serious intracranial complications developed in two patients and the value of computed tomography in detecting these is stressed.

Outbreaks of hospital infection in southwest England caused by gentamicin-resistant Serratia marcescens

Five geographically separate outbreaks of hospital acquired infection caused by gentamicin-resistant strains of Serratia marcescens occurred in the period October 1977 to January 1980 in southwest England. The patients affected were in wards for general or urological surgery, or in neurosurgical, cardiothoracic or general intensive therapy units. Asymptomatic colonization was more common than symptomatic infection, although deaths and serious infections occurred. Control of spread of the bacteria proved difficult. Most strains were resistant to many currently available antibiotics besides gentamicin; only one strain became resistant to amikacin. Representative isolates where characterized by O serotype, bacteriophage type, antibiotic sensitivity pattern, production of beta-lactamases and amino-glycoside-aminocyclitol (ACAG)-modifying enzymes, and plasmid visualization. Plasmid studies provided information that complemented conventional typing methods in determining epidemiological relationships among the outbreaks.

Regional hip blockade in osteoarthrosis. Effects on pain perception

Eighteen patients with unilateral osteoarthrosis of the hip were investigated in a trial which involved the injection of nine with bupivacaine and nine with normal saline. All the patients completed daily pain analogue charts. Their pain, mobility and functional activity were assessed and gait characteristics analysed, once before the injection and then at three monthly intervals. All the patients recorded a decrease in pain level within two weeks of injection, but it subsequently rose to pre-injection levels. There were no other significant general improvements after the injection. A significant increase in the maximum force at toe-off for the good leg was recorded one month after the injection. However, no further significant differences were found in the gait performance of either group of patients throughout the study. It is concluded that the hip nerve regional blockade offers no useful relief to the pain of osteoarthrosis of the hip joint.

Vocational rehabilitation for industrially disabled workers

The role of vocational rehabilitation services, which help to re-employ injured workers, is not well understood in Australia. The rehabilitation counsellor must be able to coordinate a wide variety of resources and to find the best possible socio-economic solution for the worker.

On the role of sensitised T-lymphocytes in the pathogenesis of multiple sclerosis

Peripheral blood lymphocytes from 24 out of 26 patients with clinically well-defined multiple sclerosis in remission showed sensitisation to multiple sclerosis brain extracts as assayed by enhancement of the early erythrocyte rosette test. Such an increase in the number of early rosettes was not found when the lymphocytes of multiple sclerosis patients were exposed to extracts of control brains. In contrast the sensitised cells were found in the circulation in only two of 11 patients with multiple sclerosis in acute relapse. The percentage of circulating T-lymphocytes which formed early rosettes was lower in the group of patients suffering a relapse than in patients in remission. A longitudinal study of one patient who was tested before, during and after a relapse revealed the disappearance from the blood of the sensitised T-cells during the relapse and their subsequent reappearance after recovery. Of 36 patients with other neurological diseases, two responded solely to multiple sclerosis brain, two responded to both multiple sclerosis and control brain, and three responded only to control brain. No healthy controls showed sensitisation to any brain extract.

Comparison of cowpox-like viruses isolated from European zoos. Brief report

Poxviruses isolated from captive carnivores in Russia (Moscow virus) and elephants in Germany (elephant virus) were very closely-related to cowpox virus. Immunological analysis with absorbed sera separated elephant virus but not cowpox and Moscow virus, whereas polypeptide analysis separated cowpox but not elephant and Moscow virus. A combination of biological tests separated all three. The epidemiological implications are briefly reviewed.

Structural polypeptides of Orthopoxvirus: their distribution in various members and location within the virion

The structural polypeptides of accepted species and recently isolated members of the genus Orthopoxvirus have been examined by SDS-polyacrylamide gel electrophoresis. The viruses shared many polypeptides but some differences were found. The viruses could be divided into a vaccinia group (including buffalopox, 'Lenny' and MK-10), an ectromelia group (including elephant virus and Moscow virus), cowpox, camelpox and monkeypox. Minor differences were found in the polypeptides of monkeypox virus strains from human and monkey outbreaks. Controlled degradation of virions showed that the polypeptides which enabled the viruses to be differentiated were located in the surface and sub-surface layers. The cores of the viruses all gave the same complex polypeptide pattern.

The control of movement in the preferred and non-preferred hands

The nature of the difference in skill between the preferred and non-preferred hands was investigated using a peg-board task. The first experiment examined the effects of varying movement amplitude and target tolerance on performance. The difference between hands was found to be related to tolerance rather than movement amplitude. The second study analysed a film record of well-practised subjects, confirming the hypothesis that most of the difference between hands is due to relative slowness of the non-preferred hand in the positioning phase involving small corrective movements. Analysis of the type and number of errors further suggested that this result is not due to differences in duration of movements but to their increased frequency, implying greater accuracy of aiming with the preferred hand. Thus whilst the initial gross analysis implicated feedback processing in skill differences the more detailed analysis suggests that motor output of the nonpreferred hand is simply more variable.

Hairy cell leukemia: a review

Hairy cell leukemia is a chronic but steadily progressive malignancy usually of older males. Clinically, patients present with splenomegaly and/or cytopenia. The diagnosis is made by demonstration of the hairy cell in Wright's-stained peripheral blood and in bone marrow and by the characteristic histologic findings in the bone marrow biopsy and spleen sections. Infection is the most significant problem complicating the course of patients with hairy cell leukemia and the role of granulocytopenia and/or monocytopenia is undoubtedly substantial. Splenectomy has produced an objective response in improving hematologic parameters in a large number of patients and may prolong survival in those patients who respond. The precise nature of hairy cells remains unknown. The cells exhibit features of both monocytes and B-lymphocytes in morphologic, cytochemical, immunologic and functional studies. A more complete understanding of the monocytic and lymphocytic stem cells and their maturation may provide insight into the origin of the hairy cell.

EEG spectrum analysis techniques applied to the problem of psi phenomena

Electroencephalographic techniques were used to study unusual sensory capabilities. One S, the "sender," of a pair of Ss was stimulated with 10 sec duration trains of flicker at 6 or 16 fps, randomly interspersed with periods of no flicker. EEGs were recorded from another S, the "receiver," to determine if EEG driving or alpha block would be evident on trials when the sender was stimulated, compared to when the sender was not stimulated. Differential alpha block on control and stimulus trials was observed reliably in one receiver, indicating some information transfer. The S's overt indications of which stimulus occurred were not different from what would be expected by chance. The physical parameters by which the EEG effect was mediated were not determined.