Microenvironmental toxicity of azidothymidine: partial sparing with hemin

Azidothymidine (AZT) is a useful drug in management of AIDS. Nevertheless, its hematologic toxicity such as anemia and neutropenia present further complications to an already compromised hematopoietic state in patients. We studied the effects of AZT on human and murine bone marrow (BM) colony growth as determined by assays of CFU-E, BFU-E, CFU-GM, and fibroblastoid stromal (CFU-Fb) colonies. Cultures were grown in methylcellulose with growth factors and scored after three- to 14-day incubation. In general, murine marrow cultures were more sensitive to AZT as compared with human marrow. Furthermore, interindividual variation in toxicity to AZT was observed between marrow samples; 1 mumol/L AZT inhibited murine CFU-E, BFU-E, and CFU-GM by 98% to 100%, whereas human marrow was inhibited by 52%, 87%, and 65%, respectively. Lower concentrations of AZT (0.1 mumol/L) inhibited murine erythroid colony growth by 85% to 90%, whereas human growth was inhibited by only 39% to 52%. Myeloid colony inhibition was similar for human and murine systems. CFU-Fb growth was markedly suppressed (75%) by 1 mumol/L AZT. Hemin, at a concentration of 10 mumol/L, overcame some of the inhibitory effects of 1 to 0.1 mumol/L AZT without hindering antiviral activity. Inhibition of human CFU-E growth was completely overcome with hemin, whereas CFU-GM growth was recovered to 66% to 74% of control. A similar but less pronounced effect was observed for BFU-E. Furthermore, hemin does not decrease AZT's effects of HIV antigen content in vitro. We conclude that anemia and neutropenia, occurring as a result of AZT, may not be as pronounced in the presence of hemin. Furthermore, CFU-Fb was significantly reduced in the presence of low concentrations of AZT. This may indicate a major target site for BM toxicity since the stromal microenvironment may be responsible for maintaining short- and long-term hematopoiesis.

Effect of bovine somatotropin on metabolism of lactating dairy cows: energy and nitrogen utilization as determined by respiration calorimetry

Effects of exogenous bovine somatotropin (bST) on energy and nitrogen utilization by high producing dairy cows were examined. Nine cows received bST (51.5 IU/d) or exipient (control) in a single reversal design involving 14-d treatment periods. Energy and nitrogen balances were measured in open-circuit respiration chambers. Yield of 4% solids-corrected milk was increased by 22% with bST treatment. Dry matter intake and the apparent digestibilities of dry matter, energy and nitrogen were not altered by treatment. The only significant component of nitrogen utilization that was altered by bST treatment was an increase in milk nitrogen secretion. Cows were in negative tissue nitrogen balance during the control period (-21 g/d) and tended to become more negative during the bST treatment period (-34 g/d). Heat energy loss and milk energy secretion were increased with bST treatment. Tissue energy balance was -1.1 Mcal/d during the control treatment period and the use of energy reserves with bST treatment decreased tissue energy balance to -9.8 Mcal/d. Changes in heat production with bST treatment were equal to those predicted from the changes in milk and body tissue. Overall, the results demonstrated that bST treatment increased yield of milk and milk components even when cows were in negative nitrogen and energy balance. Effects of bST were predominantly associated with nutrient partitioning, and observed heat loss (associated with maintenance and partial efficiencies of milk synthesis and tissue utilization) did not differ from predicted heat loss.

Effect of bovine somatotropin on metabolism of lactating dairy cows: influence on rates of irreversible loss and oxidation of glucose and nonesterified fatty acids

Effects of bovine somatotropin (bST) on irreversible loss rate (ILR) and oxidation rate of glucose and nonesterified fatty acids (NEFA) were examined. Nine lactating cows received bST or excipient in a single reversal design using 14-d periods. Kinetic variables were estimated by compartmental analysis of blood metabolite and expired CO2 specific activity values obtained during infusion of [U-14C]glucose or [1-14C]palmitate. With bST treatment, milk energy yield increased by 31% but feed intake was unchanged. Blood glucose concentrations were not affected by treatment or correlated with any glucose kinetic variables. In the control period, glucose ILR was 12.1 mol/d with 66.5% utilized for milk lactose synthesis and 17.4% oxidized to CO2. Treatment with bST increased glucose ILR (+1.5 mol/d) and reduced glucose oxidation (-0.4 mol/d); this accommodated the additional glucose (+1.3 mol/d) required for the increase in lactose secretion. Increases in milk energy yield with bST treatment caused cows to be in a substantial negative net energy balance (-9.8 Mcal/d). No acute lipolytic response occurred with bST treatment, but plasma NEFA were chronically elevated (+104 mumol/L) and NEFA ILR increased (+2.3 mol/d). Increased NEFA turnover was primarily used for increased oxidation to CO2 (+0.5 mol/d) and 41% increase in milk fat (equal to approximately 1.3 mol fatty acids/d). For NEFA, plasma concentrations were correlated with ILR (r = +0.80), oxidation to CO2 (r = +0.74) and net energy balance (r = -0.78). Overall, bST resulted in an exquisite coordination of metabolism to meet nutrient needs for increased synthesis of milk components.

The significance of free radicals and free radical scavengers in L1210 leukemia

L1210 leukemia is a murine leukemia which is associated with anemia and marked neutrophilia. In order to determine the significance of free radicals (FR) in this disorder, we determined the presence and localization of free radical scavengers (FRS) and scavenger-like systems in L1210 leukemia cells obtained in vivo and from in vitro cultures. FR are metabolized or detoxified by certain FRS such as glutathione (GSH and GSSG), superoxide dismutase (SOD) and enzymes such as epoxide hydrolase (EH). In all cases specific fractions of L1210 cells, bone marrow and liver were examined for FR/FRS levels. Reduced (GSH) and oxidized (GSSG) glutathione were measured fluorometerically using o-opthalaldehyde (OPT). SOD was determined colorimetrically utilizing pyrogallol by substrate autolysis inhibition, and EH was determined by utilizing [3H] styrene oxide as a substrate. Ratios of GSH/GSSG in fractions prepared from in vivo and in vitro L1210 cells showed a predominance of GSH-reductase with the highest activity in mitochondria (ratio = 15 vs. 10). Normal liver showed a similar pattern whereas, leukemic liver showed altered GSH/GSSG ratios in mitochrondria and microsomes. Leukemic bone marrow showed a predominance of GSH-reductase in all fractions. EH activity was highest in microsomal fractions obtained from L1210 cells grown in vitro and found to become increased in both the mitrochondrial (100%) and microsomal (200%) fractions when cells were exposed to retinoic acid (RA) in culture. SOD activity in the cytosolic (21.2 U SOD/mg) and mitochondrial (12 U SOD/mg) fractions whereas, leukemic liver showed a significant decrease in activity in all fractions compared to normals. SOD was determined in fractions taken from L1210 cells in vivo and in vitro. Results demonstrated detectable but reduced SOD activity in the L1210 cell fractions as contrasted with liver activity. Results from these studies indicate that certain FRS systems are functional in L1210 leukemic animals. Furthermore, variations in the ratios or levels may be of significance in the leukemic and hematological states.

Heme metabolism and in vitro erythropoiesis in anemia associated with hypochromic microcytosis

Heme metabolism and in vitro erythropoietic growth (CFU-E, BFU-E) were examined in bone marrow cells taken from two siblings with apparent familial hypochromic microcytic anemia. Bone marrow cells from both patients grew adequate numbers of CFU-E and BFU-E colonies in culture in the presence of erythropoietin. In addition, small numbers of endogenous CFU-E were seen in 7-day cultures. Assays on bone marrow cells taken from both patients revealed that baseline delta-aminolevulinic synthase activity was considerably reduced, but increased six to seven fold (to normal levels) when patients' cells were exposed to pyridoxal phosphate (PLP). In both cases, ferrochelatase and delta-aminolevulinic acid dehydratase activities were normal. Bone marrow heme oxygenase showed no significant differences in activities between normals and patients values in the absence or presence of PLP. In contrast, heme synthesis by patients' bone marrow was less than that of normals. This study demonstrates that bone marrow cells from patients with this rare disorder have some disturbances in heme metabolism, whereas erythropoiesis appeared to be normal when cultured with adequate nutrients in vitro.

Testing sealing properties of restorative materials against moist dentin

The objectives of this investigation were (1) to develop a sensitive laboratory system that simulates the physiological and clinical conditions of a prepared human tooth in order to facilitate the determination of the bonding and sealing efficacies of restorative dental materials and (2) to conduct experiments with two dentin bonding agents, two posterior composite resin restorative materials (hybrid and microfilled), and a glass-ionomer type II filling material. The system functioned well and provided data to indicate that, after margination, the two posterior composite resin restorative materials performed equally and both performed better than the glass-ionomer filling material; none of the materials provided a perfect seal immediately after insertion, although some restorations demonstrated perfect seals from 16 hours to 28 days after placement; the seal of the glass-ionomer material improved after 28 days of storage in buffer solution; each successive step in the respective composite resin procedures improved the seal except in one case for the microfilled resin.

Serologic studies in the diagnosis and management of meningitis due to Sporothrix schenckii

Eight patients have previously been reported to have central nervous system infections caused by Sporothrix schenckii. In those patients the fungus proved quite difficult to culture, delaying correct diagnosis and treatment. We describe seven additional patients with sporotrichosis meningitis, all of whom had antibody to this fungus in cerebrospinal fluid and serum. The antibody in the cerebrospinal fluid was most likely produced locally, as evidenced by its oligoclonality and the relatively high ratio of immunoglobulin to albumin in the cerebrospinal fluid as compared with the serum. Only one of these seven patients, who had active sporotrichosis of the knee joint, had obvious extrameningeal infection. None of 130 patients with meningitis known to be caused by other agents and none of 170 patients with other neurologic disorders had antibody to S. schenckii in their cerebrospinal fluid. We suggest that cerebrospinal fluid should be tested for S. schenckii antibody (in addition to other fungal agents) in any patient with chronic meningitis for which no cause is discovered by the usual diagnostic tests.

Relationship between maldistribution of ventilation and airways obstruction in children with asthma

This study was designed to explore the relationship between ventilation non-uniformity, as assessed by moment analysis of nitrogen washout, and airways obstruction, as assessed by spirometry, in children with asthma. Moment ratios derived from the multibreath washout curves in asthmatics were significantly higher than those obtained from healthy controls (P less than 0.001). Among patients with asthma, moment ratios showed a high degree of negative correlations with spirometric variables expressed as percent of predicted, i.e., increasing airways obstruction was associated with increasing ventilation non-uniformity. When the subjects were tested on multiple occasions during one test day the results demonstrated a strong quantitative relationship within subjects between spontaneous changes in moment ratios and spirometric variables (P less than 0.001), with the slope of the regressions showing a trend to vary from one patient to another. Chi squared analysis showed that significant changes in FEV1 were paralleled by corresponding significant changes in moment ratios with a sensitivity of approximately 81% and a specificity of 82%. Additionally, changes in FEV1 induced by an inhaled bronchodilator were associated with concomitant changes in moment ratios. We conclude that: (1) the majority of children with asthma have some degree of ventilation non-uniformity which is correlated with their degree of airways obstruction, and (2) spontaneous changes in airways obstruction in such subjects are paralleled by changes in ventilation non-uniformity.

Marine pollution and health in South Africa

Although the RSA does not have a serious marine pollution problem, rapid population growth and increasing industrialization make it imperative to assess the pollution status of coastal waters and to plan for future developments. All pollution on earth ends up in the sea, which consequently contains a mixture of substances, the effects of which on the biota and on human health are poorly understood. Many of these substances are accumulated by marine organisms and become ever more concentrated along the food chain; where man is at the top of the chain, he thus runs the greatest risk of all. Too much raw sewage is allowed to pollute the sea, the provision of sewage treatment plants being largely inadequate for the growing population. Notwithstanding the excellent work done by a number of South African organisations and individuals, and the sound basis of the country's anti-marine pollution legislation, a plea is made for greater co-operation between those whose expertise and/or official position would enable them to contribute to combating the problem.

Evaluation of an emergency cricothyrotomy instrument

An emergency cricothyrotomy device was placed in 11 anesthetized dogs in order to assess airway damage and problems in placement, ventilation, and design. Posterior airway perforation without esophageal damage occurred in three animals. Submucosal hematomas or cricoid cartilage injury occurred in seven animals. As placement by an untrained operator was surprisingly difficult, prior operator training with this device is recommended. When properly installed, an excellent emergency airway was achieved. Some minor design shortcomings are noted and suggestions for improvement are made.

Pyramidal tract of the cat: axon size and morphology

The purpose of this work was to determine the number and morphology of pyramidal tract (PT) axons in the cat, using electron microscopy, modern methods of fixation, and computer-assisted morphometric analysis. Sections taken at the level of the medullary pyramids in three animals were fixed and magnified up to 10,000 X to produce photomicrographs. Morphological data were entered into computer files for analysis by tracing axon perimeters on micrographs mounted on a digitizer tablet. The number of axons per PT averaged 415,000, of which 88% were myelinated and 12% were unmyelinated. 90% of the myelinated axons fell in the diameter range 0.5-4.5 microns. Axons larger than 9 microns diameter accounted for 1% of the total; the largest were 20-23 microns. Myelinated axon mean diameter was 1.98 microns; because of the skewed distribution, with many small axons and a few very large axons, median diameter was 1.60 micron. Size distribution was relatively uniform throughout the PT cross section, with all sizes represented in all regions. However, the more medial regions had a higher proportion of small fibers than the more lateral regions: mean medial diameter was 1.85 micron while mean lateral diameter was 2.09 microns. Myelin sheath thickness averaged 7.9% of fiber diameter for axons up to 11 microns, but was constant at 0.9 micron for larger fibers. Myelinated fibers were distorted from the circular shape in cross section, with a mean circularity index (or form factor) of 0.85, which implies that the fibers could swell about 15% without rupture of the cell membrane.(ABSTRACT TRUNCATED AT 250 WORDS)

Mitochondrial granules: are they reliable markers for heavy metal cations?

Mitochondrial granules have been used as markers for heavy metal cations, but since such granules can also be found in tissues in the absence of such cations, an attempt was made to define conditions under which these different granules might be visualised. The tissue used was the smooth muscle of the central ear artery of the rabbit. In all studies, the presence or absence of mitochondrial granules was determined by several observers, using coded specimens so that the previous treatment of the specimens was not at the time known to the observers. Paired tissues were exposed for 30 or 90 minutes at 20, 30 or 39 degrees C to an incubate containing either 10 mmol/l barium or a control barium-free solution. After fixation in osmium tetroxide, there was no difference between the two groups; in both cases granules appeared more frequently the longer the time and the higher the temperature of incubation. In a further series where glutaraldehyde was the fixative, granules were identified in 23 out of 41 tissues incubated with barium, but in only 1 out of 41 control tissues (P less than 0.001). Electron probe microanalysis showed that granules in osmium-fixed tissues contained osmium as the main element, whereas granules in glutaraldehyde-fixed tissues which had been incubated with barium showed barium as the predominant cation. Thus mitochondrial granules can be reliable markers for heavy metal cations, but only under carefully controlled conditions.

Spatial summation of pre-pain and pain in human teeth

The purpose of this work was to investigate the relation between the sensations of pain and 'pre-pain' evoked by stimulation of teeth in human subjects. Electrical pulses of progressively increasing amplitude, generated by a computer-controlled stimulator, were applied to 1 or 2 teeth, and the subjects responded by indicating the nature of the resulting sensation. Pre-pain and pain could be readily and rapidly distinguished by all 11 subjects (response latency about 0.4 sec). Both sensations had stable thresholds with relatively small variance (S.D. 10-15% of threshold value) for a given subject. Subjects characterized the stimuli as indifferent or unpleasant, localized, and brief. By using special stimulation strategies (termed 'optimal trajectories') for exciting 2 teeth simultaneously, spatial summation for pre-pain was demonstrated in most subjects and for pain in almost all subjects. Spatial summation of pre-pain resulted in pain rather than in more intense pre-pain. These results are consistent with both the dual modality (separate afferent fibers for pre-pain and pain) and the single modality hypotheses (single type of afferent fibers) of tooth pulp sensibility, but favor single modality innervation.

Blood and milk lipid responses induced by growth hormone administration in lactating cows

Nine multiparous Holstein cows (average 5.8 yr, 63 to 132 days postpartum) were in a 28-day single reversal experiment in the Beltsville open circuit respiration chambers with two 14-day injection periods (placebo versus bovine growth hormone, 51.5 IU/day). With growth hormone treatment, milk fat percentage increased 25 to 29%, milk fat yield increased 41%, and cows averaged -13.7 Mcal/day energy balance. There were small increases of triglycerides and 1,2-diglycerides, core lipids, and small decreases of cholesterol and phospholipids, the membrane lipids. Fat from growth hormone treatment had 6% less short (6:0, 8:0, 10:0) and medium (12:0, 14:0, 14:1, 15:0, 16:0) chain fatty acids and 6% more long chain 18:1 fatty acids. Plasma of cows treated with growth hormone had an increase of concentrations of free fatty acids, but no shifts were apparent among other lipid classes. Analysis of total plasma fatty acids did not show any net changes, but within individual plasma lipid classes, 18:1 increased and 18:2 decreased. Overall changes of blood and milk lipids are consistent with the concept that adipose tissue reserves were mobilized in response to hormone treatment and that these mobilized lipids were the major carbon source for the 41% increase of milk fat secretion. Increases of de novo synthesis of short and medium chain fatty acids also occurred but much less. Cows treated with growth hormone were in negative energy balance, and the mechanism may differ when cows are in positive energy balance.

Prescribing psychotropic drugs in general practice: three year study

A three year longitudinal study of psychotropic drug prescribing in one inner city general practice showed that there was a greater use of such drugs among women and elderly men and women. Repeat prescriptions without consultation accounted for 44% of prescriptions written. We think that any attempt to reduce the volume of prescriptions for psychotropic drugs should take into account the prescribing habits and attitudes of doctors as well as the problems and needs of patients.

Activated rat neutrophils. A sequential quantitative assay for aggregation and NBT reduction

We present here a rapid, sensitive, and convenient approach for the analysis of activated Lewis rat PMNs based on detecting separately, or in tandem, PMN aggregation and PMN reduction of nitroblue tetrazolium (NBT). These responses are quantitated using an ELISA scanner which can rapidly measure optical densities of cell cultures in microtiter plates. Aggregation induced by as little as 0.005 micrograms/ml of phorbol myristate acetate (PMA), 0.01 micrograms/ml lipopolysaccharide (LPS), or a 1:160 dilution of lymphokine-containing rat serum can be detected employing this approach. NBT reduction was induced by as little as 0.01 micrograms/ml PMA. Blocking studies employing 2-deoxyglucose, iodoacetamide, and polymyxin B gave the expected results and confirmed that these assays detect cellular responses to soluble stimuli. Using this technology the effects of PMA and LPS on rat peritoneal exudate PMNs were evaluated. Rat PMNs appeared less sensitive to LPS than human PMNs and also reduced NBT more slowly following stimulation with PMA. Because of the slowness in NBT reduction following stimulation, NBT reduction can be evaluated, in tandem, after measuring aggregation. The simplicity of this system, coupled with the speed with which large numbers of microcultures can be read and the low number of cells required, make this approach for studying responses especially attractive.

Recurrent Fusarium keratomycosis: a light and electron microscopic study

Corneal buttons infected with Fusarium solani, were removed during penetrating keratoplasty, and studied by light and electron microscopy. Histologically, it appeared that the hyphae penetrated Descement 's membrane and the posterior stroma from the anterior chamber. Their cell wall, plasmalemma, and cytoplasm were preserved indicating that the fungi might be still active despite antifungal therapy, which may not be effective once the fungus penetrates Descemet's membrane. The other interesting feature was the total lack of phagocytic activity of macrophages on adjacent fungal hyphae indicating possible suppression of host defense responses in this cornea. Patients with fungal keratitis should be treated with antifungal drugs at an early stage, and therapeutic penetrating keratoplasty appears to be most effective, if performed before the fungus penetrates the barrier of Descemet's membrane.

Peripheral corneal grafts in Terrien's marginal degeneration

Surgical treatment of two cases of Terrien's marginal degeneration is discussed. Because of the peripheral location of the corneal thinning, free-hand grafting is required. The procedure and its complications, both intraoperative and postoperative, are described in detail.

Video-photo slit lamp

A combination video and photographic slit lamp manufactured by Rodenstock with a special light source by Storz has been described. Primarily a research instrument because of the expense of the light source, the video system, when properly adjusted, provides useful records of certain procedures and pathology and is an excellent teaching tool. The photographic attachment provides excellent quality, high resolution 35 mm documentation of anterior segment disease and pathology.

Ocular and testicular abnormalities in alopecia areata

Ocular abnormalities similar to those usually found in patients with vitiligo occurred in nine patients with alopecia areata and one patient with poliosis. Exophthalmos, iris color change, discrete depigmentation, and, frequently, associated pigment hyperplasia of the choroid and retinal epithelium were found in the ten patients. Four patients had had a bilateral iris color change from dark brown to blue-green. Hypogonadism, thyroid disease, and poliosis may frequently be associated with pigmentary disturbances of the eye, as well as hair loss. Testicular dysfunction with oligospermatism to aspermatism, hypoandrogyny, hyperretractable testes, and epididymal cyst is reported. Two patients had unilateral and one patient had bilateral testicular atrophy.

Keratoprosthesis. Results, complications, and management

Thirty-one cases of keratoprosthesis were followed for periods of from 1 to 84 months (average 35 months). The Cardona through-and-through device was implanted, covered with periosteum, and exteriorized through an opening in the upper lid. Visual results varied from 20/20 (1 of 31 cases) to counting fingers (5 of 31 cases). While 12 of the 31 cases achieved 20/40 or better at some point in the postoperative course, only 5 of 31 maintained this level of acuity over a long-term period. Severe complications included retroprosthetic membrane (18 out of 31), vitreitis (7 out of 31), dislocation (5 out of 31), extrusion (3 out of 31), and endophthalmitis (5 out of 31). Fifteen of the 31 patients required subsequent surgical revision. Despite the frequency and severity of complications, 17 out of 31 patients achieved sufficient improvement in visual acuity to enable them to function without assistance for periods of 1 to 7 years.

Time course of antirecall effect of diazepam and lorazepam following oral administration

The time course of antirecall effect and grades of sedation after the oral administration of diazepam and lorazepam were determined in 120 patients. Three standard doses of each drug were employed. Grades of sedation following oral diazepam were dose related, with a latency of 30-60 min and duration of 120-150 min. All three doses of lorazepam produced significantly more sedation with a similar latency (30-60 min) but longer duration (more than 240 min). Peak frequencies of the antirecall effects of diazepam 10, 15, and 20 mg were 5, 20, and 30 per cent, respectively. The duration was about two hours. Peak frequencies of the antirecall effect after lorazepam 2, 3, and 4 mg were 30, 45, and 72 per cent, respectively. Latency of peak action was about 60-90 min for all the doses, but the duration, especially with 3 and 4 mg doses, was long (4 h).

Tooth pulp-driven neurons in somatosensory cortex of primates: role in pain mechanisms including a review of the literature

The tooth pulp of primates was stimulated electrically while searching for evoked unit potentials in the cerebral cortex. Control procedures were employed to assure that the electrical stimuli reached only tooth pulp fibers but no extrapulpal sensory fibers. In addition, an electrode was inserted in soft tissue surrounding the tooth for separate excitation of extrapulpal axons. A tooth pulp projection area was identified in the "face area" of primary somatosensory cortex. Two major neuron groups were encountered, one excited only by the extrapulpal soft tissue stimulus, the other by tooth pulp stimuli. Within the pulp-projection area, soft tissue-driven neurons were most numerous in superficial cortex of the postcentral gyrus, pulp-driven neurons dominated in deep cortex in the base of the central sulcus. The pulp-driven population divided into several functional subsets: those excited from one pulp only (conceivably capable of localizing pulpal stimuli), those excited from more than one pulp and those excited from both pulp and extrapulpal soft tissue. Within each of these 3 pulp-driven subsets, some units responded to single shock, others only to a train of shocks. Mean discharge latency was shortest for the population excited only from soft tissue, intermediate for pulp-driven units excited by single shock and longest for pulp-driven units excited only by trains of shocks. Both soft tissue and pulp stimuli evoked extensive inhibitory effects. In the Discussion, the possible role of pulp-driven neurons in pain is considered. The functional properties of some neurons are consistent with a role in stimulus localization but those of the remaining neurons suggest other roles in pain. An examination of the literature on cortex and pain suggests that normally somatosensory cortex is important for localizing painful stimuli and that it contributes to other pain mechanisms as well. After certain lesions, somatosensory cortex has the capacity for generating "central" pain just like other structures in the nociceptive pathway.

Acceleration forces at eye level experienced with rotation on the horizontal bar

Negative acceleration forces (-Gz) experienced at eye level have been associated with preretinal hemorrhage and headache. These signs and symptoms were found in individuals who experienced negative (toward the head) force while rotating on a horizontal bar or hanging from a trapeze. Lightweight accelerometers were used to measure -Gz experienced at eye level in children and adult gymnasts performing a single-knee backswing on a horizontal bar. Rate of onset of -Gz, peak -Gz, time experiencing -Gz, area of curve (G.second), and mean force (area/time) were calculated. There was no significant difference between the children and the adult gymnasts in any of the above parameters. The best gymnast had a maximum rate of onset of 38.15 G/s and the maximum negative force experienced was 5.52 G. The maximum rate of onset for a child was 41.56 G/s and the maximum negative force experienced was 5.73 G. Compared with -Gz tolerance curves generated on a centrifuge the best gymnast would have become symptomatic while performing this maneuver in 6 s. The best child would have become symptomatic in 25 s. These tolerance limits can be easily exceeded by gymnasts and by the monkey-bar enthusiast.

Synchronous, sustained oscillation of C-peptide and insulin in the plasma of fasting monkeys

The previously reported synchronous oscillations in plasma glucose and insulin levels have been further studied to determine whether the phenomenon can be attributed to cyclic secretion or degradation of the hormone. Plasma C-peptide concentrations were measured and found to cycle with the same period as plasma insulin suggesting that the oscillations of insulin arise from changing secretion rather than degradation. The amplitude of C-peptide oscillation was 50 percent that of insulin. Assuming first order kinetics and the same relative rates of disappearance as in humans, this difference in amplitudes in consistent with equal secretion rates for the two peptides.

Graphic digitizer analysis of the myelinated axon spectrum in the inferior alveolar nerve of the cat

The diameter spectrum and other parameters indicating size and shape of myelinated axons were established in a cross-section of the inferior alveolar nerve obtained at the mandibular foramen. The spectrum is bimodal with approximately equal numbers of axons in the Aalpha and Adelta-range, in contrast to unimodal spectra of certain branches contributing to the inferior alveolar nerve.

Insulin, glucagon, and glucose exhibit synchronous, sustained oscillations in fasting monkeys

In overnight fasted rhesus monkeys, synchronous, regular oscillations occurred in the plasma concentrations of glucose, insulin, and glucagon. The oscillations displayed a period averaging 9 minutes. The amplitudes for insulin and glucagon were ten and five times greater than for glucose. Insulin cycled in and glucagon out of phase with glucose. In baboons, oscillations of glucose and insulin were smaller than in rhesus monkeys, while in man, regular oscillations were not observed.

A technique for obtaining scanning electron micrographs in colour

A digital electronic unit is described which, by modifying the video signal of the scanning electron microscope (SEM), permits the selection of images in separate tonal or grey-scale levels. By the sequential exposure of these grey levels onto colour film with the intervention of colour filters, coloured scanning electron micrographs have been obtained. Full details of the procedure are given. The process is applicable to any normal image capable of being displayed at the scanning electron microscope.

Graphic-digitizer analysis of axon spectra in ethmoidal and lingual branches of the trigeminal nerve

Sections were removed from the lingual and ethmoidal nerves of cats and histologically prepared, and the fibers were analyzed under the light microscope. Neural dimensions were measured by a new technique, employing a graphic digitizer and computer. The outline of a neural structure was traced with the digitizer pen, and the total number of axons, their cross-sectional areas, shapes, diameter spectra, and locations within the nerve were calculated. Both nerves had unimodal axon spectra with the peak between 2 and 6 mum diameter. Differences in axon composition occurred over the diameter range of 9 to 20 mum; the lingual nerve had many axons in this range, the ethmoidal nerve only a few. The total number of myelinated axons was near 4000 in the lingual nerve, near 1400 in the ethmoidal nerve; only the latter had many large-sized Remak bundles (containing C-fibers). Most myelinated axons were not perfectly circular but exhibited various degrees of distortion.

Observations of isolated enterocytes and of their subcellular components using transmission and scanning electron microscopy

Isolated epithelial cells and their subcellular organelles were examined both by transmission and by scanning electron microscopy. It was shown that scanning electron microscopy is particularly useful for displaying the three-dimensional structure of the brush border. Furthermore, it has been possible to observe the basal aspect of separated epithelium for the first time. Studies on the scanning electron microscopic appearance of isolated nuclei, mitochondria, and lysosomes did not reveal any evidence of surface structure.

Congenital hair defects

Congenital hair defects are not just medical curiosities. Congenital hair defects and associated disease entities may represent different manifestations of a basic underlying metabolic defect. Abnormal hair should serve as a clue to other associated abnormalities particularly abnormal amino acid metabolism, neurosensory hearing loss, dental enamel hypoplasia and mental and physical retardation. With application of modern technics to the study of hair, new data have been obtained on the physical and biochemical properties of human hair.