Whole body inverse dynamics over a complete gait cycle based only on measured kinematics

This paper presents a three-dimensional (3D) whole body multi-segment model for inverse dynamics analysis over a complete gait cycle, based only on measured kinematic data. The sequence of inverse dynamics calculations differs significantly from the conventional application of inverse dynamics using force plate data. A new validated "Smooth Transition Assumption" was used to solve the indeterminacy problem in the double support phase. Kinematic data is required for all major body segments and, hence, a whole body gait measurement protocol is presented. Finally, sensitivity analyses were conducted to evaluate the effects of digital filtering and body segment parameters on the accuracy of the prediction results. The model gave reasonably good estimates of sagittal plane ground forces and moment; however, the estimates in the other planes were less good, which we believe is largely due to their small magnitudes in comparison to the sagittal forces and moment. The errors observed are most likely caused by errors in the kinematic data resulting from skin movement artefact and by errors in the estimated body segment parameters. A digital filtering cut-off frequency of 4.5 Hz was found to produce the best results. It was also shown that errors in the mass properties of body segments can play a crucial role, with changes in properties sometimes having a disproportionate effect on the calculated ground reactions. The implication of these results is that, even when force plate data is available, the estimated joint forces are likely to suffer from similar errors.

How accurate are lockable orthotic knee braces? An objective gait analysis study

There has been an increasing use of orthotic knee braces in the management of knee injuries but, to our knowledge, there is no gait analysis study assessing the accuracy of these braces. Eight healthy male subjects were studied to determine the accuracy of immobilisation or splintage provided by a lockable orthotic knee brace using gait analysis. Six types of immobilisation were studied: locked at 0, 10, 20, 30 degrees and unlocked in an orthotic knee brace, and without a brace. The knee flexion angles measured using the kinematic instruments at 0 and 10 degrees were significantly greater than those set at the knee brace. The knee flexion angle measured using the unlocked knee brace was significantly greater than that measured in the absence of a brace. This study highlights inaccuracies in a knee brace at low knee flexion angles. The higher actual angles alter the biomechanics of the knee joint and result in greater forces across the knee joint and especially the extensor mechanism.

The energetic costs of load-carrying and the evolution of bipedalism

The evolution of habitual bipedalism is still a fundamental yet unsolved question for paleoanthropologists, and carrying is popular as an explanation for both the early adoption of upright walking and as a positive selection pressure once a terrestrial lifestyle had been adopted. However, to support or reject any hypothesis that suggests carrying efficiency was an important selective pressure, we need quantitative data on the costs of different forms of carrying behavior, especially infant-carrying since reduction in the grasping capabilities of the foot would have prevented infants from clinging on for long durations. In this study, we tested the hypothesis that the mode of load carriage influences the energetic cost of locomotion. Oxygen consumption was measured in seven female participants walking at a constant speed while carrying four different 10-kg loads (a weighted vest, 5-kg dumbbells carried in each hand, a mannequin infant carried on one hip, and a 10-kg dumbbell carried in a single hand). Oxygen consumption was also measured during unloaded standing and unloaded walking. The results show that the weighted vest requires the least amount of energy of the four types of carrying and that, for this condition, humans are as efficient as mammals in general. The balanced load was carried with approximately the predicted energy cost. However, the asymmetrical conditions were considerably less efficient, indicating that, unless infant-carrying was the adaptive response to a strong environmental selection pressure, this behavior is unlikely to have been the precursor to the evolution of bipedalism.

The relationship of the angle of immobilisation of the knee to the force applied to the extensor mechanism when partially weight-bearing

We describe the influence of the angle of immobilisation during partial weight-bearing on the forces across the extensor mechanism of the knee. Gait analysis was performed on eight healthy male subjects with the right knee in an orthotic brace locked at 0°, 10°, 20° and 30°, with the brace unlocked and also without a brace. The ground reaction force, the angle of the knee and the net external flexion movement about the knee were measured and the extensor mechanism force was calculated.

The results showed a direct non-linear relationship between the angle of knee flexion and the extensor mechanism force. When a brace was applied, the lowest forces occurred when the brace was locked at 0°. At 30° the forces approached the failure strength of some fixation devices. We recommend that for potentially unstable injuries of the extensor mechanism, when mobilising with partial weight-bearing, the knee should be flexed at no more than 10°.

Foot kinematics during walking measured using bone and surface mounted markers

The aim was to compare kinematic data from an experimental foot model comprising four segments ((i) heel, (ii) navicular/cuboid (iii) medial forefoot, (iv) lateral forefoot), to the kinematics of the individual bones comprising each segment. The foot model was represented using two different marker attachment protocols: (a) markers attached directly to the skin; (b) markers attached to rigid plates mounted on the skin. Bone data were collected for the tibia, talus, calcaneus, navicular, cuboid, medial cuneiform and first and fifth metatarsals (n=6). Based on the mean differences between the three data sets during stance, the differences between any two of the three kinematic protocols (i.e. bone vs skin, bone vs plate, skin vs plate) were >3 degrees in only 35% of the data and >5 degrees in only 3.5% of the data. However, the maximum difference between any two of the three protocols during stance was >3 degrees in 100% of the data, >5 degrees in 73% of the data and >8 degrees in 23% of the data. Differences were greatest for motion of the combined navicular/cuboid relative to the calcaneus and the medial forefoot segment relative to the navicular/cuboid. The differences between the data from the skin and plate protocols were consistently smaller than differences between either protocol and the kinematic data for each bone comprising the segment. The pattern of differences between skin and plate protocols and the actual bone motion showed no systematic pattern. It is unlikely that one rigid body foot model and marker attachment approach is always preferable over another.

Predictive modelling of human walking over a complete gait cycle

An inverse dynamics multi-segment model of the body was combined with optimisation techniques to simulate normal walking in the sagittal plane on level ground. Walking is formulated as an optimal motor task subject to multiple constraints with minimisation of mechanical energy expenditure over a complete gait cycle being the performance criterion. All segmental motions and ground reactions were predicted from only three simple gait descriptors (inputs): walking velocity, cycle period and double stance duration. Quantitative comparisons of the model predictions with gait measurements show that the model reproduced the significant characteristics of normal gait in the sagittal plane. The simulation results suggest that minimising energy expenditure is a primary control objective in normal walking. However, there is also some evidence for the existence of multiple concurrent performance objectives.

Regression Techniques for the Prediction of Lower Limb Kinematics

This work presents a novel and extensive investigation of mathematical regression techniques, for the prediction of laboratory-type kinematic measurements during human gait, from wearable measurement devices, such as gyroscopes and accelerometers. Specifically, we examine the hypothesis of predicting the segmental angles of the legs (left and right foot, shank and thighs), from rotational foot velocities and translational foot accelerations. This first investigation is based on kinematic data emulated from motion-capture laboratory equipment. We employ eight established regression algorithms with different properties, ranging from linear methods and neural networks with polynomial support and expanded nonlinearities, to radial basis functions, nearest neighbors and kernel density methods. Data from five gait cycles of eight subjects are used to perform both inter-subject and intra-subject assessments of the prediction capabilities of each algorithm, using cross-validation resampling methods. Regarding the algorithmic suitability to gait prediction, results strongly indicate that nonparametric methods, such as nearest neighbors and kernel density based, are particularly advantageous. Numerical results show high average prediction accuracy (ρ=0.98∕0.99,RMS=5.63°∕2.30°,MAD=4.43°∕1.52° for inter∕intra-subject testing). The presented work provides a promising and motivating investigation on the feasibility of cost-effective wearable devices used to acquire large volumes of data that are currently collected only from complex laboratory environments.

A comparison of knee braces during walking for the treatment of osteoarthritis of the medial compartment of the knee

In this cross-over study, we evaluated two types of knee brace commonly used in the conservative treatment of osteoarthritis of the medial compartment. Twelve patients confirmed radiologically as having unilateral osteoarthritis of the medial compartment (Larsen grade 2 to grade 4) were studied. Treatment with a simple hinged brace was compared with that using a valgus corrective brace. Knee kinematics, ground reaction forces, pain and function were assessed during walking and the Hospital for Special Surgery scores were also determined.

Significant improvements in pain, function, and loading and propulsive forces were seen with the valgus brace. Treatment with a simple brace showed only significant improvements in loading forces. Our findings suggest that although both braces improved confidence and function during gait, the valgus brace showed greater benefit.

Meso- and Microscale Patterns of Fusarium Head Blight in Spring Wheat Fields in Minnesota

Several techniques were used to study the spatial distribution of Fusarium head blight (FHB) in spring wheat fields in the Red River Valley of Minnesota in 2001 and 2002. Four scales of study were analyzed, ranging from countywide comparisons down to adjacent heads. Agreement to frequency distributions and the departure from randomness, along with the autocorrelation of FHB clusters, were calculated at each scale. Regression analysis also was used to describe any edge affects that might exist. Finally, the optimal number of samples to adequately assess a 32.4-ha (80-acre) field was determined to a precision of ±5% disease incidence (DI). The analysis showed that DI had a random pattern at scales smaller than 32.4-ha fields, including quadrats of 6,561, 729, and 9 m², as well 0.8-m transects involving consecutive heads within drill rows. There was no difference in DI associated with edges of fields compared with the incidence of FHB in transects within fields. Analysis of the spatial distribution at the mesoscale (county and township) showed no association in FHB DI between fields based on proximity. Differences were attributed to previous crop and in-field residue. Disease incidence was most accurately assessed on a field-by-field basis. The optimal sampling size (with <5% error) for surveying for the incidence of FHB in a standard commercial field was seven 20-head samples. Regional disease estimates would improve from including more fields at the expense of fewer samples per field.

Dynamic analysis of load carriage biomechanics during level walking

This paper describes an investigation into the biomechanical effects of load carriage dynamics on human locomotion performance. A whole body, inverse dynamics gait model has been developed which uses only kinematic input data to define the gait cycle. To provide input data, three-dimensional gait measurements have been conducted to capture whole body motion while carrying a backpack. A nonlinear suspension model is employed to describe the backpack dynamics. The model parameters for a particular backpack system can be identified using a dynamic load carriage test-rig. Biomechanical assessments have been conducted based on combined gait and pack simulations. It was found that the backpack suspension stiffness and damping have little effect on human locomotion energetics. However, decreasing suspension stiffness offers important biomechanical advantages. The peak values of vertical pack force, acting on the trunk, and lower limb joint loads are all moderated. This would reduce shoulder strap pressures and the risk of injury when heavy loads are carried.

Reproducibilty of partial weight bearing

OBJECTIVES

To find out whether partial weight bearing can be reproduced and retained.

DESIGN

In vivo experiment in normal subjects.

INTERVENTION

Training for partial weight bearing (25% of body weight) using bathroom scales.

MAIN OUTCOME MEASUREMENT

Reproducibility on force platform immediately after training and after 60 min.

RESULTS

Twelve subjects were asked to reproduce 25% of their body weight through either the dominant or non-dominant limb on force platform after three practice attempts on bathroom scales with concurrent visual feedback. No feedback was provided after the measurements on force plate. The process was repeated after 1h without any practice sessions in the interim period to find out if the weight practised could be retained. The mean 0-min reading was found to be 25.9% of body weight while the mean 60-min reading was found to be 24.4%. The p-value for the difference between the two means was found to be 0.3841.

CONCLUSIONS

This study indicates that partial weight bearing instructions can be quantified and graded. Simple bathroom scales are sufficient to educate the patients and this can be practised at home after an initial period of supervision.

A new biomechanical model for the functional assessment of knee osteoarthritis

The severity of symptoms in osteoarthritis (OA) of the knee can be difficult to assess. A new method for assessing medial compartment OA of the knee is proposed. The purpose of this study was to determine if a relationship exists between the severity of OA and single limb stance knee adduction moment (SSKAM). Fourteen patients with medial compartment OA of the knee were tested and compared with 14 age-matched volunteers. WOMAC OA index scores were documented. Biomechanical data were collected from a single Kistler force platform and a six-camera ProReflex motion analysis system, and the knee adduction moments were calculated. A significant difference in the maximum, minimum and mean adduction moments was found between the two groups, and a correlation of r=0.66 for WOMAC physical function subscale, r=0.63 for the WOMAC pain subscale and r=0.63 for the sum of the subscales and mean SSKAM was found. Single limb stance adduction moments provide additional, objective information in the assessment of medial compartment OA of the knee. It may be useful in the selection of patients for surgery and for evaluating various treatment modalities for medial compartment OA of the knee.

Classifying the Relative Host Reaction in Potato Cultivars and Breeding Lines to the US-8 Strain of Phytophthora infestans in Minnesota

A total of 32 commercial cultivars grown in the United States and 15 potato breeding lines and non-U.S. cultivars were evaluated at Rosemount, MN for their reaction to the US-8 strain of Phytophthora infestans. Commercial red-, russet-, and white-skinned cultivars tested in the commercial cultivar trial (COMC) in 1996 and 1997 were susceptible (S) to moderately susceptible (MS) to this organism, except for Elba, which ranked as moderately resistant (MR). Yellow-fleshed cvs. Hertha, Santé, and Agria were screened in the late blight nursery (LB1) in 1997 and 1998 and classified as S to MS while Island Sunshine, Brador, and Aziza were classified as MR. The Scottish breeding line G6582-3 and U.S. breeding lines A90586-11, AWN86514-2, AWN85624-5, B0692-4, B0718-3, and B0767-2 were classified as resistant (R). Comparison among entries was based on the area under the disease progress curve (AUDPC). Spearman rank correlation for AUDPC in the 1996 and 1997 COMC trials at 14 to 18 days after inoculation (r = 0.65, P < 0.01) was greater than any other interval tested. The Spearman rank correlation for AUDPC in the 1997 and 1998 LB1 trials at 14 to 18 days after inoculation was r = 0.87, P < 0.01 and increased only slightly in successive assessment dates, suggesting that, in Minnesota, effective evaluation of the foliar infection of late blight can occur at 18 days after inoculation or later. The average tuber blight incidence for the COMC trials at harvest was 10.0% in 1996 and 9.7% in 1997. The average tuber blight incidence for the LB1 trials at harvest was 4.3% in 1997 and 14.6% in 1998. Pearson correlations between tuber blight incidence and foliar disease for the COMC trials was very low; however, for the LBl trials, it was significant in both 1997 (r = 0.53, P < 0.01) and 1998 (r = 0.53, P < 0.01). Asymptomatic tubers harvested from the COMC trials developed additional tuber blight when stored 28 days at ambient temperatures and still more when stored for another 5 months at 5°C. Surviving tubers of nine entries were planted in field trials during 1997 and 1998 to determine if plants that develop from tubers exposed to P. infestans could manifest late blight in the subsequent season. Late blight failed to develop throughout the trials in either year.

Differentiation of Three Homogeneous Groups of Rhizoctonia solani Anastomosis Group 4 by Analysis of Fatty Acids

ABSTRACT Profiles of fatty acids from 70 isolates of Rhizoctonia solani anastomosis group (AG)-4 clustered into three groups, corresponding to homogeneous group (HG)-I, HG-II, and a newly described HG-III. Isolates from Georgia peanuts exhibiting limb rot were characterized as gas chromatography (GC) subgroup 1 (GC-1) and contained HG-I isolates. Isolates from diseased soybean hypocotyls grown in North Dakota and sugar beet seedlings, taproots, and tare soil in Minnesota and North Dakota were characterized as GC subgroup 2 (GC-2) and contained predominantly HG-II isolates but also included three distinct isolates based on fatty acid methyl ester (FAME) analysis and morphological features. Selected isolates from North Carolina cucumbers clustered into three distinct groups that corresponded to HG-I, HG-II, and the newly described HG-III. Distinct isolates from the soybean and sugar beet populations clustered with HG-III. Fatty acid profiles of AG-4 were compared with FAME library profiles of AG-1, AG-2 type 2, and AG-3, which were developed in previous studies and were sufficiently different that they could be used to support speciation of this group from R. solani. It is suggested that binomial R. practicola may be appropriate for the portion of AG-4 identified as HG-II.

Combined suicide and granulocyte-macrophage colony-stimulating factor gene therapy induces complete tumor regression and generates antitumor immunity

The use of prodrug-activated ("suicide") gene therapy has been shown to be effective in inducing tumor regression when only a small proportion of tumor cells contains the suicide gene. These experiments were designed to test whether additional therapeutic benefit may be obtained by stimulating the immune response. Murine MC26 colon carcinoma cells, either untransduced or transduced with genes for herpes simplex virus-1 thymidine kinase (HSV1-TK) or human GM-CSF, were injected subcutaneously into syngeneic BALB/c mice in various combinations. Inoculation of equal numbers of untransduced and HSV1-TK-containing cells followed by ganciclovir (GCV) treatment resulted in almost complete tumor regression, but by 7 weeks, tumors had recurred in all mice. A similar initial regression was obtained using equal numbers of cells containing HSV1-TK and GM-CSF genes, but >80% of these mice remained tumor-free after 3 months. Groups of tumor-free mice that had received GM-CSF-containing cells were left for different periods of time and rechallenged with unmodified MC26 cells on the opposite flank. Of the mice rechallenged 14, 28, and 108 days later, 100%, 88%, and 57%, respectively, showed complete resistance to unmodified tumor cells. In mice that showed tumor regrowth, tumor volume was much less than in control mice. Adoptive transfer of spleen cells from resistant mice to naïve syngeneic mice resulted in partial resistance to challenge with unmodified tumor cells. Specific cytotoxicity against MC26 cells was only demonstrable in mice receiving GM-CSF- and HSV1-TK-containing tumor cells. These experiments show that the presence of cells secreting GM-CSF in HSV1-TK-containing, regressing tumor is able to induce complete or partial resistance to tumor rechallenge. This indicates the potential usefulness of GM-CSF in enhancing other antitumor therapies.

Assessments of Fusarium Head Blight of Wheat and Barley in Response to Fungicide Treatment

Benomyl and tebuconazole reduced head blight incidence, head blight severity, and the percentage of visually scabby kernels (VSK) in harvested grain when applied to the susceptible spring wheat cv. Norm at anthesis. Deoxynivalenol (DON) concentration was also reduced. Fungicide treatment increased head weight, test weight, thousand kernel weight, and yield. Fludioxonil reduced certain parameters associated with the disease in barley, including incidence, severity, and deoxynivalenol concentration, while increasing the percentage of plump kernels and yield. In vitro, isolates of Fusarium graminearum were sensitive to fludioxonil, benomyl, tebuconazole, and mancozeb (concentrations that give 50% growth inhibition of 7.4 × 10^-3, 3.5 × 10^-1,9.9 × 10^-1, and 7.3 mg a.i./liter, respectively). No evidence for insensitivity (resistance) was found. Prospects for chemical control of Fusarium head blight (FHB), however, remain limited. The repeatability of assessment methods used in evaluating host response to fungicides and to the damage caused by F. graminearum is discussed. Disease incidence, disease severity, VSK, and DON were identified as key variables that best measure the effects of FHB.

The unsolicited diary as a qualitative research tool for advanced research capacity in the field of health and illness

In this article, the place of diary method is examined in the context of qualitative tools. Although much neglected in qualitative methodology, there is considerable support for its use, and it is argued that unsolicited diary analysis as a qualitative tool has value as a social research method. Although it is commissioned or solicited diaries that are increasingly popular in health research, different kinds of diary usage are examined together with certain possible biases and weaknesses. Although framework analysis was originally developed for analyzing interview data, it is seen as an appropriate qualitative tool for the analysis of unsolicited diaries. The analysis of an unsolicited diary account of a patient suffering from cancer of the larynx is explored as a potential data source.

The Effect of Previous Crop Residues and Tillage on Fusarium Head Blight of Wheat

Effects of previous crop residues and tillage practices on Fusarium head blight (FHB) of wheat were examined. Fusarium head blight was monitored in plots of the FHB-susceptible spring wheat cultivar Norm following crops of corn, wheat, and soybeans in 1995, 1996, and 1997. Moldboard plow, chisel plow, and no-till treatments were imposed perpendicular to crop strips to establish a range of residue levels in each of the previous crop residues. Fusarium head blight incidence and severity were greatest when wheat followed corn and least when wheat followed soybeans. Incidence and severity were lower in moldboard plowed plots than in either chisel plowed or no-till plots, although differences among chisel plow and no-till treatments were not apparent. Yields of wheat were approximately 15% lower in plots where wheat followed corn or wheat than in wheat following soybeans and were 10% greater in moldboard plowed plots than in either chisel plowed or no-till treatments. The deoxynivalenol (DON) content of harvested grain was significantly correlated with FHB incidence and severity. The DON level in wheat following soybeans, averaged across tillage treatments, was 25% lower than in wheat following wheat and 50% of the level in wheat following corn. These findings suggest that changes in regional tillage practices, principally the move toward conservation tillage and reduced-till systems, contributed to the recent FHB epidemics in the Upper Midwest. Because differences in the type and quantity of crop residues in small plots affected disease development, it is likely that local sources of inoculum, such as those within a grower's field, contribute directly to the inoculum load and disease potential. The implication of these findings is that selection of cultural practices aimed to reduce inoculum-borne residues will assist in the control of FHB.

Seedling Blight Development and Control in Spring Wheat Damaged by Fusarium graminearum Group 2

Aspects of seedborne infection in Fusarium-damaged and undamaged seed lots of hard red spring wheat were studied. In a 22°C environment, seedling blight developed from plantings of Fusarium-damaged seed that were characterized by both reduction and delay in emergence and postemergence seedling death. After 28 days, stand counts from the Fusarium-damaged seed lot averaged 46%, compared with 98% from the undamaged seed lot. However, the mean dry weight of surviving seedlings from the Fusarium-damaged lot was not statistically different from that of seedlings from the undamaged seed lot. Surface-sterilization reduced recovery of Fusarium graminearum group 2 from the damaged lot by 7% and increased germination by 32%, suggesting that seed are both infected and contaminated with viable propagules of the fungus. In field experiments, seed treatment with maneb- or thiabendazole-containing fungicide combinations significantly reduced seedling blight and improved stands derived from the Fusarium-damaged seed lot. Triazole fungicides, including difenoconazole, fenbuconazole, and tetraconazole, were less effective. Triazole fungicides and carboxin-containing fungicide combinations controlled loose smut in these trials, while maneb seed treatments did not. In four field tests, seedling blight incidence in plantings of Fusarium-damaged seed increased as soil temperatures during emergence increased. The distribution of blighted seedlings was random and not clustered. Seedling blight did not develop in field plantings of the undamaged seed lot.

Identification of Rhizoctonia solani AG-UNK from Rice and Rice Fields in Texas as AG-11

A survey of Texas rice fields in 1984 and 1985 yielded collections of Rhizoctonia solani AG-1 IA (causal agent of sheath blight of rice), R. oryzae (causal agent of sheath spot of rice), and a collection of eight multinucleate Rhizoctonia solani-like isolates that would interanastomose, but not anastomose, with tester isolates of AG-1 through AG-8 (representing those available at that time). In 1985, the isolates were characterized as R. solani AG-UNK (2). Isolates were recovered as atypical sclerotia from elutriated field soils in rice-soybean and rice-fallow rotations. Isolates also were recovered from late-season stem lesions nearly identical to those associated with sheath spot disease and from rice residues at locations throughout the upper Gulf Coast of Texas but at extremely low frequencies compared with recovery of R. solani AG-1 IA and R. oryzae. Teleomorphs of R. solani AG-UNK were observed during middle to late season on rice sheaths and matched descriptions of Thanatephorus cucumeris. Isolates were pathogenic on rice and soybean foliage in greenhouse trials but caused no significant yield losses when inoculated on adult rice plants (50 days after emergence) in field trials (2). Isolates exhibited mean hyphal diameters of 5.1 μm, averaged 8.3 nuclei per penultimate cell, grew 0.53 mm/h at 28°C on potato dextrose agar, and were negative in phenol tests (2). From samples maintained in storage during the past 15 years, the isolates have now been identified as AG-11 based on positive anastomosis with tester strains of AG-11 (1). This report records the occurrence of AG-11 in Texas, establishes the identity of the AG-UNK group, and expands the known geographic range of AG-11 in the United States. References: (1) D. E. Carling et al. Phytopathology 84:1387, 1994. (2) R. K. Jones and S. B. Belmar. Plant Dis. 73:1004, 1989.

Quality Parameters in Small Grains from Minnesota Affected by Fusarium Head Blight

Recent epidemics of Fusarium head blight (FHB) severely damaged the hard red spring wheat and barley crops in Minnesota. Samples of commercial grain were analyzed in 1993 and 1994 to determine the effects of FHB on several quality parameters. Wheat test weight (TW) averaged 832 kg m^-3 (55.4 lb/bu), thousand kernel weight (TKW) averaged 27.4 g, and the proportion of visually scabby kernels (VSK) averaged 11.0%. Deoxynivalenol (DON) was detected in 493 of 500 samples (98.6%). The mean concentration was 8.3 μg/g (range = 0.0 to 44.7 μg/g). Scab in wheat could rapidly be estimated using easy-to-prepare visual comparison standards. Scores of percent VSK were correlated with DON concentration at r = 0.897 and 0.908 in 1993 and 1994, respectively. TW and TKW were less effective estimators of DON (r = -0.622 and -0.550, respectively). DON was detected in 100 of 100 six-row barley samples collected during the survey and averaged 10.4 μg/g (range = 0.5 to 39.7 μg/g). DON concentration in barley could not be effectively estimated with grading parameters including TW, TKW, percent plump kernels, or a visual index of kernel discoloration. In 28 samples of oats, DON averaged 1.4 μg/g (range = 0.0 to 6.4 μg/g). Nivalenol was not detected in any of the 628 samples analyzed during the two-year study.

Phenotypic analysis and proliferative responses of human endometrial granulated lymphocytes during the menstrual cycle

The in vivo function of the unusual population of CD56+ CD16- endometrial granulated lymphocytes (eGLs) in human endometrium is unknown; their increased numbers in the secretory phase of the menstrual cycle suggests that they may play a role in the immunobiology of nonpregnant endometrium. In the present study, the phenotype and proliferative responses of eGLs at various phases of the menstrual cycle were compared with those in early pregnancy. Endometrial GLs were highly purified (> 98% CD56+) using immunomagnetic separation, and the expression of cell surface antigens was examined in smears using a double immunohistochemical labeling technique. Proliferative responses to mitogens and interleukin 2 (IL-2) were assessed in hanging drops in 60-well Terasaki plates. There was low to no expression of CD3, CD8, CD16, HML-1, L-selectin, and CD25 (IL-2 receptor alpha) on CD56+ cells isolated from nonpregnant and pregnant endometrium. The expression of CD2, CD49a, and CD122 (IL-2 receptor beta, IL-2Rbeta), however, increased from the proliferative to the late secretory phase of the menstrual cycle. In contrast, CD11a, CD69, and CD49d expression was high and did not vary with menstrual cycle phase; CD49d levels were significantly reduced in early pregnancy. Unlike early-pregnancy eGLs, none of the CD56+ eGL cultures throughout the menstrual cycle displayed phytohaemagglutinin (PHA)-induced lymphoproliferation. In contrast, eGLs from nonpregnant endometrium in the presence of 5 or 100 U/ml IL-2 after 48- and 120-h incubation showed significant proliferative responses, as did eGL cultures from early pregnancy. A significantly reduced number of proliferative phase eGL cultures proliferated in response to IL-2 compared to secretory phase and early-pregnancy eGL cultures. The IL-2-induced proliferative responses of CD56+ eGLs were associated with increased IL-2Rbeta (CD122) expression. These findings demonstrate 1) differential eGL expression of CD2, CD49a, and CD122 during the menstrual cycle; 2) differential IL-2-induced eGL proliferative responses during the menstrual cycle; and 3) differences between eGLs from nonpregnant and pregnant endometrium in CD49d expression and their ability to respond to PHA.

Apoptosis and bcl-2 expression in normal human endometrium, endometriosis and adenomyosis

Apoptosis has been implicated in the pathogenesis of several diseases and is partly regulated by bcl-2, which blocks the apoptotic pathway and promotes cell survival. Apoptosis and bcl-2 expression were examined in paired eutopic and ectopic endometrium from women with endometriosis (n = 30 samples) or adenomyosis (n = 15 samples) and compared with control endometrium (n = 30 samples). Apoptotic cells were detected using the dUTP nick-end labelling (TUNEL) assay for DNA fragmentation; bcl-2 expression was demonstrated with a streptavidin-biotin peroxidase immunohistochemical technique. Apoptotic cells were rare in eutopic, ectopic and control endometrium; there were no significant differences between subject groups nor between eutopic and ectopic endometrium. Stromal bcl-2 expression increased in the late secretory phase in control and eutopic endometrium in endometriosis; double labelling studies revealed that most stromal bcl-2+ cells were leukocytes. Stromal bcl-2 expression in endometriotic foci was significantly increased compared with the paired eutopic endometrium, did not vary with menstrual cycle and included a significant population of non-leukocytic bcl-2+ stromal cells. In contrast, stromal bcl-2 expression in adenomyosis remained at low levels and did not show significant cyclical variation. Glandular epithelial bcl-2 expression also varied with menstrual cycle phase and peaked in the proliferative phase; in contrast, surface epithelial bcl-2 expression increased in the late secretory phase. Elevated stromal bcl-2 expression in ovarian endometriotic lesions could have implications for the growth and survival of ectopic endometrial tissue at these sites.

Intraepithelial leukocytes in endometriosis and adenomyosis: comparison of eutopic and ectopic endometrium with normal endometrium

Intraepithelial leukocytes (IEL) are recognized as an important component of most mucosal surfaces but have received scant attention in the human female reproductive tract. The aim of the present study was to characterize, quantify and compare IEL populations in normal endometrium (n = 30) and in eutopic and ectopic (endometriotic or adenomyotic lesions) endometrium from women with endometriosis (n = 30) or adenomyosis (n = 15) at different menstrual cycle phases in order to assess the role of IEL in these common but poorly understood disorders. IEL populations were examined in formalin-fixed, paraffin-embedded sections using a streptavidin-biotin-peroxidase complex technique and quantified in relation to epithelial cell numbers. IEL in control endometrium and eutopic endometrium in endometriosis and adenomyosis varied during the menstrual cycle, with CD45+, CD43+ and CD56+ cells increasing from the proliferative to the late secretory phase. IEL were elevated in surface compared with glandular epithelium in the proliferative and early secretory phases. Throughout the menstrual cycle there were no significant differences in IEL between eutopic and ectopic endometrium in adenomyosis. Endometriotic foci, however, contained elevated levels of CD45+, CD3+ and CD8+ cells and reduced numbers of CD56 + cells compared with the corresponding eutopic endometrium and these did not vary with menstrual cycle phase. In contrast, ectopic endometrium in adenomyosis showed some cyclical changes with CD56+ cells increasing significantly in the late secretory phase. It is possible these differences may play a role in the pathogenesis of endometriosis and the associated complications.

Phenotypic and functional studies of leukocytes in human endometrium and endometriosis

The aetiology of endometriosis, a common and disabling disorder, is presently unknown, although immune dysfunction could allow ectopic endometrial fragments to survive outside the uterine cavity. These studies investigate the relationship between leukocyte populations, steroid hormone receptor expression, proliferative activity, bcl-2 expression and apoptosis in eutopic and ectopic endometrium from women with endometriosis or adenomyosis at different phases of the menstrual cycle. Significantly increased oestrogen receptor expression, bcl-2 expression and numbers of CD8+ leukocytes were found in ectopic compared with eutopic endometrium in endometriosis, and CD56+ endometrial granulated lymphocytes (eGLs) were significantly reduced in ectopic endometrium. Apoptotic cells were rarely found in control and subject endometria. In contrast with endometriosis, adenomyotic lesions showed identical steroid hormone receptor expression, proliferative activity, bcl-2 expression and leukocyte subpopulations to eutopic endometrium, indicating different aetiologies for these disorders. The unusual CD56+ CD16- eGLs present in large numbers in late secretory phase eutopic endometrium were highly purified (>98%) by immunomagnetic separation. Except for a negligible cytotoxic activity of eGLs from early proliferative samples, cytotoxic activity of eGLs from non-pregnant endometrium during the menstrual cycle was comparable with those in peripheral blood, predominantly CD56+ CD16+ natural killer cells. eGLs from non-pregnant endometrium and early pregnancy showed a variable proliferative response to 5 and 100 U/ml interleukin-2 over 48-h and 120-h time courses. eGLs are evidently functionally important in the eutopic endometrium. Their absence in endometriotic lesions together with increased CD+8 T-cell numbers and increased oestrogen receptor and bcl-2 expression may have significant effects on the development and progression of endometriosis.

Women's lay knowledge of cervical cancer/cervical screening: accounting for non-attendance at cervical screening clinics

An assessment of women's knowledge of cervical screening and cervical cancer was considered important as up to 92% of those dying from this form of cancer had never been tested. What were the reasons which determined their non-attendance? Issues to be addressed were reactions to invitation, women's knowledge of screening, and the possible factors which they envisaged as being associated with cervical cancer. Other issues to be considered were practical problems associated with attendance, and preference for the sex and professional status of the health professionals involved; 187 women in a general practitioner practice in Lothian, Scotland were targeted by questionnaire. As with other studies in this field 50% of those contacted were ineligible for a variety of reasons. Seventy-two women completed the questionnaire, providing a mix of qualitative and quantitative data. Although the majority of women felt the invitation to attend screening was clear and easy to understand, there was a lack of knowledge with regard to both the screening itself and the possible causes of cervical cancer. The main 'causes' were seen as higher sexual activity among those aged under 37 and smoking and a virus by those over 37. The majority of women showed preference for a female professional to take the smear. Practical problems of time and venue were not considered insurmountable. The main reasons cited for non-compliance were the fear and dislike of the test itself.

Apoptosis, bcl-2 expression, and proliferative activity in human endometrial stroma and endometrial granulated lymphocytes

Human endometrial leukocytes undergo regular cyclical changes during the menstrual cycle, with a striking increase in the phenotypically unusual population of CD56+ CD16- endometrial granulated lymphocytes (eGLs) in the late secretory phase and early pregnancy. The factors that regulate this increase in eGL numbers are unclear; their unusual morphology, however, has led to the suggestion that they undergo apoptosis at the end of the menstrual cycle. Apoptosis, bcl-2 expression, and proliferative activity were examined in the stroma of normal cycling, progesterone-treated, and early-pregnancy endometrium. The expression of bcl-2 and the Ki67 proliferation marker by highly purified (> 98% CD56+) eGLs from endometrium during the menstrual cycle and from first-trimester decidua was also studied. Apoptotic cells were rarely observed in the endometrial stroma of any of the samples examined. Stromal bcl-2 expression, however, increased from the proliferative to the premenstrual phase, and double immunohistochemical labeling demonstrated large numbers of bcl-2+ CD56+ eGLs. In contrast, Ki67 expression was high in the endometrial stroma during the proliferative phase, fell during the secretory phase, and rose again premenstrually, because of expression by eGLs. Isolated CD56+ eGLs also showed high bcl-2 and Ki67 expression at the end of the menstrual cycle. Unlike premenstrual endometrium, progesterone-treated endometrium and first-trimester decidua contained few proliferating cells, expressed high levels of bcl-2, and showed no evidence of apoptosis. Thus, eGLs do not undergo apoptosis in premenstrual endometrium, and their regulatory mechanisms remain to be clarified.

Preliminary evaluation of the efficacy and implementation of the new NHS complaints procedure

The increase (28.8 per cent) in the number of complaints from pre-New NHS Complaints Procedure to the implementation of the new procedures in 1996 is a matter of concern because it is estimated that the current figure represents only 40 per cent of the number of people with some dissatisfaction. The Wilson Report prompted Government initiatives in producing a new NHS Complaints Procedure. The new procedure allows for complaints to be dealt with at a local level, or in a minority of cases through Independent Review. The new procedures, which were introduced in April 1996, oblige Trusts, GP practices and Health Boards to establish a Written Local Resolution process for handling complaints, responsibility for implementation lying with individual trusts. A preliminary assessment of the New Procedures was carried out in Lothian. A qualitative approach was utilised and semi-structured taped interviews lasting on average one hour ten minutes were administered to the six complaints officers. This study concentrates on how the six Lothian NHS Trusts are implementing the new procedure, the openness in complaints handling, and the awareness of how complaints can be used to improve standards. The conclusion is that Local Resolution 1 has been successful, and that complaints do receive a speedy response. The process is much simpler and easier for the lay population to access. Reservations remain, however, towards the Independent Review procedure.

Cytotoxic activity of endometrial granulated lymphocytes during the menstrual cycle in humans

CD56+ CD16- granulated lymphocytes, termed endometrial granulated lymphocytes (eGLs), have been suggested to play a role in the maintenance of human pregnancy, although their in vivo function in both pregnant and nonpregnant endometrium remains unknown. The present study compared the cytotoxic activity of CD56+ CD16- eGLs (> 98% purity) positively selected from early and late proliferative-phase, early and late secretory-phase, and menstrual-phase endometrium with that of CD56+ CD16- eGLs purified from first-trimester decidua and CD56+ predominantly CD16+ cells from peripheral blood. From the late proliferative phase onwards, the major histocompatibility complex (MHC)-nonrestricted cytotoxic activity of eGLs was comparable between phases of the menstrual cycle. In contrast, eGLs from early proliferative-phase endometrium displayed significantly lower cytotoxic activity. With the exception of eGLs purified from early proliferative-phase endometrium, the cytotoxic activity of CD56+ CD16- eGLs purified from nonpregnant endometrium was comparable to that of CD56+ CD16- eGLs in decidua and CD56+ predominantly CD16+ cells from peripheral blood. No endogenous lymphokine-activated killer cell activity was detected in eGLs from endometrium or decidua. The present study using highly purified eGLs demonstrates that, with the exception of early proliferative-phase samples, CD56+ CD16- eGLs from nonpregnant endometrium and early pregnancy decidua have cytotoxic activity comparable to that of "classical" natural killer cells from peripheral blood.

Managing pregnancy-related nocturnal nasal congestion. The external nasal dilator

OBJECTIVE

To assess the efficacy of an over-the-counter mechanical nasal dilator during sleep in pregnant women with nasal congestion.

STUDY DESIGN

Pregnant women with symptoms of nocturnal nasal congestion not attributed to allergies or "cold" symptoms were randomized in a double-blind manner to receive either a spring-loaded device or placebo device without a spring. Each patient assessed breathing and sleep quality for a three-day baseline and three-day treatment period. A 10-question diary was utilized to assess breathing, ease of falling asleep, sleep quality, and continuity and depth of sleep. Averaged scores for each question were computed for baseline and treatment periods, and differences were calculated. Statistical analyses were by the sign test, Fisher's exact test and Student's test.

RESULTS

Thirty-four (21%) of 160 screened patients were enrolled into the study; 24 (15%) completed the study. All agreed to being assigned to receive either the spring-loaded device (n = 12) or a placebo (n = 12) device. Responses to 8 of the 10 questions favored the former as compared with the placebo (P = .05, sign test). Moreover, patients treated with the spring-loaded device gave more favorable responses to the question, "Overall, compared with most nights, how easy was your breathing through-out last night?" (P = .02, t test).

CONCLUSION

Use of this drug-free external nasal dilator improved the ease of breathing among patients with pregnancy-related nocturnal congestion.

Immunohistochemical characterization of stromal leukocytes in ovarian endometriosis: comparison of eutopic and ectopic endometrium with normal endometrium

OBJECTIVE

To compare stromal leukocyte subpopulations in different phases of the menstrual cycle in eutopic and ectopic endometrium from women with ovarian endometriosis and in control endometrium.

DESIGN

Retrospective immunohistochemical study.

SETTING

Department of Pathology, Royal Victoria Infirmary, Newcastle-upon-Tyne, United Kingdom.

PATIENTS

Paraffin-embedded tissue blocks from 30 patients with endometriosis and 30 control blocks from patients undergoing hysterectomy for nonendometrial pathology were retrieved from archive files.

MAIN OUTCOME MEASURE

Quantitative assessment of defined stromal leukocyte subpopulations in eutopic, ectopic and control endometrium at different stages of the menstrual cycle.

RESULTS

In the proliferative and early secretory phases, ectopic endometrium contained elevated numbers of CD45+, CD3+, and CD43+ cells but reduced percentages of CD68+ macrophages. The proportions of granulated cells were reduced in ectopic endometrium throughout the cycle. No differences were noted between eutopic endometrium from women with endometriosis and control endometrium.

CONCLUSION

Differences between eutopic and ectopic leukocyte subpopulations with the exception of large granular lymphocytes may be due to the lack of cyclicity demonstrated by endometriotic lesions.

Nitrogen inputs from a pasture legume in rotations with cereals in the semi-arid tropics of northern Australia: experimentation and modelling on a clay loam soil

Two experiments on a Tippera clay loam soil (alfisol) at Katherine, Northern Territory, investigated the nitrogen (N) benefit from legume pasture leys of Caribbean stylo (Stylosanthes hamata cv. Verano) to subsequent maize crops. Nitrogen uptake and yield of the maize crops were higher after the Verano leys than after a grass ley, the effect persisting into the second crop. The 1-year Verano ley was estimated to have increased N uptake by the maize crops by about 30 kg/ha, and the 3-year ley by about 55 kgha over that for the grass. Removing some of the Verano dry matter (DM) as hay at the end of each growing season reduced the subsequent benefit compared with treatments where the Verano DM was rotovated into the surface soil at the end of each growing season, or left standing. However, in all legume treatments, the additional N contributed by the legume was inadequate to fully meet the N requirement of the following crop. The main features of the experimental results, through both the ley and cropping phases, could be simulated adequately using the cropping system model APSIM. The model provided the opportunity to explore the fate of N in the system, and gave insights into aspects of system performance that could not be obtained from the experimental data.

Influence of disease-suppressive strains of Streptomyces on the native Streptomyces community in soil as determined by the analysis of cellular fatty acids

Analysis of cellular fatty acid profiles was used to distinguish among introduced pathogen- suppressive strains and indigenous strains of Streptomyces spp. isolated from soil of field plots established to test the efficacy of Streptomyces strains PonSSII and PonR in the biological control of potato scab. Reference libraries of fatty acid profiles were developed for a collection of known pathogenic strains and the introduced suppressive strains. Population densities of pathogen-related, suppressive, and saprophytic Streptomyces strains were determined from the relationship of field isolates to mean library profiles using cluster analysis and the unweighted pair-group method using arithmetic averages. Community diversity was similarly determined. Streptomyces strains PonSSII and PonR were distinguished from each other and from the pathogen group (which clustered together) based on fatty acid profiles. The introduced, suppressive strains successfully colonized the soil and represented 2-19% of the isolates sampled over 2 years. The introduction of the suppressive strains inhibited the population of strains related to the pathogen library at each sample date; the pathogen population was substantially lower in soil from treatments where the suppressive strains were introduced compared with the nonamended control. At harvest, the pathogen-related population was suppressed 85-93 and 36-44% in 1991 and 1992, respectively, in treatments with the suppressive strains compared with the nonamended control. Diversity of the community was not affected by the introduced strains, and diversity and equitability indices were similar among treatments at any sample time. The inhibition of the pathogen-related population was correlated with a reduction of scab symptoms observed in the field plots into which the suppressive strains were introduced. Implications of a fundamental shift in the pathogen-related population in response to the introduction of the suppressive strains for long-term biological control of potato scab are encouraging.

Immunohistochemical characterization of proliferation, oestrogen receptor and progesterone receptor expression in endometriosis: comparison of eutopic and ectopic endometrium with normal cycling endometrium

Recent studies examining oestrogen and progesterone receptor status and the proliferative activity of endometriotic lesions have produced conflicting reports. This study aimed to clarify the receptor status and proliferative activity of eutopic and ectopic endometrium from women with endometriosis and endometrium from normal women. Progesterone and oestrogen receptor expression and proliferative activity were studied in eutopic and ectopic endometrium from 30 women with endometriosis and in endometrium from 30 normal cycling women using microwave-pretreated paraffin-embedded sections stained with an avidin-biotin peroxidase technique. Progesterone and oestrogen receptor expression in the control endometrium did not differ from that of eutopic endometrium from women with endometriosis. Oestrogen receptor expression in ectopic endometrium increased from the proliferative to the late secretory phase. Epithelial progesterone receptor expression decreased during the cycle. Oestrogen receptor expression in both epithelium and stroma of ectopic endometrium was significantly higher than in eutopic endometrium throughout the cycle. In contrast, stromal progesterone receptor expression tended to be reduced in ectopic endometrium compared with eutopic tissue. Epithelial progesterone receptor expression was increased in ectopic endometrium but only in the late secretory phase. Although proliferative activity in the epithelium of control and eutopic endometrium was reduced from the proliferative to the late secretory phase, stromal activity did not vary. The proliferative activity in ectopic endometrium remained low and constant throughout the cycle. In the proliferative and early secretory phases, the proliferative activity of eutopic endometrium was increased compared with ectopic endometrium, but in the late secretory phase, levels were comparable. These findings challenge previous reports which have suggested that oestrogen receptors are reduced in ectopic tissue. This may have clinical implications for the development of novel treatments for endometriosis.

Polysomnography methods and interpretations

As the field of sleep disorders medicine continues to mature, appropriate diagnostic techniques are becoming properly defined and standardized. This article focuses principally upon diagnostic testing for sleep apnea, although other sleep disorders are discussed briefly. When interpreting a polysomnogram, one must consider a number of complex variables. A critical discussion of the methods for adequately measuring these variables is provided together with guidelines for appropriate interpretation.

Effect of phosphorus supply on three perennial Stylosanthes species in tropical Australia. III. Potassium, calcium, magnesium and sodium concentrations and implications for grazing animals

Thc effect of phosphorus application (0 and 50 kg P ha-1 as triple superphosphate) on potassium (K), calcium (Ca), magnesium (Mg) and sodium (Na) concentrations in three Stylosanthes species (S. scabra cv. Seca, S. pianensis cv. Schofield and S. viscosa CPI 34904) was examined in a field experiment. Regular measurements were made of these cations in the leaves, stems, inflorescence, seed and litter of established plants during the wet and dry seasons of 1978-79.Phosphorus supply did not affect K, decreased Ca, increased Mg, and in some fractions increased Na concentration. It decreased the ratio of Ca to P. Applied P had no effect on the changes in cation concentration through time. With increasing plant age, K decreased in leaves of all species, Ca decreased in Seca and Schofield (but remained constant in CPI 34904), Mg was relatively steady in all species, and Na decreased in Seca and CP134904 but not Schofield. A comparison of cation concentrations in intact leaves and leaf litter suggests there was remobilization of K, and to a lesser degree, Na and Mg, but not Ca from old leaves prior to senescence.Potassium and Ca in leaf and green stem were generally considered adequate for cattle requirements throughout the year. However, Mg and Na often fell below the level required for cattle growth. The wide Ca/P ratio combined with low P concentration in all species suggests that cattle grazing these pastures would respond to P supplementation.

Effect of phosphorus on three perennial Stylosanthes species in tropical Australia. II. Phosphorus and nitrogen within the plant and implications for grazing animals

This paper describes the effect of phosphorus application on concentrations and distribution of phosphorus (P) and nitrogen (N) in three Stylosanthm specics (S. scabra cv. Scca, S. guiunensis cv. Schofield and S. viscosa CPI 34904) grown in the field on a soil of low acid-extractable (0.005 M H2SO4) P status (4 mg/kg). Over a two-year period (May 1978 to September 1979), regular measurements were made of P and N in whole plant shoots, leaves, stems, inflorescence, seed and litter.Phosphorus application increased P concentrations in all three legumes, but did not affect its pattern of seasonal change throughout the year. The P (and N) concentrations in most plant parts decreased through the wet season to reach minima in the late dry season. However, with seed there was little seasonal variation. In the second year, Seca was more efficient at taking up P and utilizing it for growth under low soil P conditions than Schofield. CPI 34904 was less efficient than Seca at taking up P, but also used P efficiently for growth. The efficient utilization of P in the leaves and stems of Seca and CPI 34904 meant that P levels were often below the level (0.12%) considered adequate for growth of grazing cattle. Dry season P concentrations in all legumes were inadequate. When P was applied, P concentrations in leaf and green stem of all species were higher than 0.12% during the wet season, but green stem of Seca and CPI 34904 fell below this level during the dry season.Applied P slightly increased N concentrations in leaves, green stems and whole plants of all species. Nitrogen concentrations were adequate (> 1.1% N) for maintenance of cattle weight at most times. Only in the late dry season did green stem of Seca contain insufficient N.Phosphorus application had little effect on the distribution of P and N within the plants. All species held a large percentage (20-50%) of these nutrients in green stems, but CPI 34904 was exceptional in directing up to 60% of the P and N to inflorescence and seed at the expense of leaf and stem.

Response of rodents to inhaled diluted diesel exhaust: biochemical and cytological changes in bronchoalveolar lavage fluid and in lung tissue

The effect of long-term (24 months) inhalation of diesel exhaust on the bronchoalveolar region of the respiratory tract of rodents was assessed by serial (every 6 months) analysis of bronchoalveolar lavage fluid (BALF) and of lung tissue from F344/Crl rats and CD-1 mice (both sexes) exposed to diesel exhaust diluted to contain 0, 0.35, 3.5, or 7.0 mg soot/m3. The purpose of the study was twofold. One was to assess the potential health effects of inhaling diluted exhaust from light-duty diesel engines. The second was to determine the usefulness of BALF analysis in detecting the early stages in the development of nononcogenic lung disease and differentiating them from the normal repair processes. No biochemical or cytological changes in BALF or in lung tissue were noted in either species exposed to the lowest, and most environmentally relevant, concentration of diesel exhaust. In the two higher levels of exposure, a chronic inflammatory response was measured in both species by dose-dependent increases in inflammatory cells, cytoplasmic and lysosomal enzymes, and protein in BALF. Histologically, after 1 year of exposure, the rats had developed focal areas of fibrosis associated with the deposits of soot, while the mice, despite a higher lung burden of soot than the rats, had only a fine fibrillar thickening of an occasional alveolar septa in the high-level exposure group. Higher increases in BALF beta-glucuronidase activity and in hydroxyproline content accompanied the greater degree of fibrosis in the rat. BALF levels of glutathione (GSH) and glutathione reductase activity increased in a dose-dependent fashion and were higher in mice than in rats. Lung tissue GSH was depleted in a dose-dependent fashion in rats but was slightly increased in mice. This depletion may have played a role in the greater fibrogenic response observed in rats. Other tissue changes in enzymatic activity were small compared to changes observed in BALF. The exposure did not increase the cytochrome P-450 content of the lung in either species. The results suggest that, for the noncarcinogenic health effects reported in this paper, there is a threshold of exposure below which adverse effects were not observed. This threshold was well above environmentally relevant levels of diesel exhaust but may be in the range of some occupational exposures. The analysis of BALF proved a useful adjunct to the chronic toxicity study to quantitate the inflammatory changes accompanying the development of pulmonary disease.

Children's perception of certain musical properties: scale and contour

Children's perception of scale and contour in melodies was investigated in five studies. Experimental tasks included judging transposed renditions of melodies (Studies 1 and 3), discriminating between transposed renditions of a melody (Study 2), judging contour-preserving transformations of melodies (Study 4), and judging similarity to a familiar target melody of transformations preserving rhythm or rhythm and contour (Study 5). The first and second studies showed that young children detect key transposition changes even in familiar melodies and they perceive similarity over key transpositions even in unfamiliar melodies. Young children also are sensitive to melodic contour over transformations that preserve it (Study 5), yet they distinguish spontaneously between melodies with the same contour and different intervals (Study 4). The key distance effect reported in the literature did not occur in the tasks of this investigation (Studies 1 and 3), and it may be apparent only for melodies shorter or more impoverished than those used here.

Diesel exhaust is a pulmonary carcinogen in rats exposed chronically by inhalation

Male and female F344 rats were exposed 7 hr/day, 5 day/week for up to 30 months to automotive diesel engine exhaust at soot concentrations of 0.35, 3.5, or 7.0 mg/m3 or were sham-exposed to clean air. Rats were terminated at 6-month intervals to measure lung burdens of diesel soot and for histopathology. Other rats either died or were terminated after 30 months of exposure. Lungs were fixed, sectioned into 3-mm slices, and examined by a dissecting microscope to detect tumors. Lesions were stained and examined by light microscopy. Survival and body weight were unaffected by exposure. Focal fibrotic and proliferative lung disease accompanied a progressive accumulation of soot in the lung. The prevalence of lung tumors was significantly increased at the high (13%) and medium (4%) dose levels above the control prevalence (1%). Four tumor types, all of epithelial origin, were observed: adenoma, adenocarcinoma, squamous cyst, and squamous cell carcinoma. Logistic regression modeling demonstrated a significant relationship between tumor prevalence and both exposure concentration and soot lung burden. These results demonstrate that diesel exhaust, inhaled chronically at a high concentration, is a pulmonary carcinogen in the rat.

Single inhalation exposure to 90SrCl2 in the beagle dog: hematological effects

The toxicity of 90Sr administered by the inhalation route was studied in young adult Beagle dogs exposed once to aerosols containing 90SrCl2. Due to its relatively soluble chemical form, 90Sr was rapidly translocated from lung to bone where a substantial portion was retained for a long period of time. This resulted in only a brief radiation exposure of the respiratory tract and a protracted exposure of the skeleton. The long-term retained burdens ranged from 0.037 to 4.4 MBq 90Sr/kg body wt. Dogs were subsequently observed throughout their life span. Six dogs with long-term retained burdens of 1.7 to 4.1 MBq 90Sr/kg died at less than 32 days after exposure from radiation-induced bone marrow hypoplasia. Review of hematological parameters of all dogs showed a similar, consistent, and dose-related pancytopenia in those animals having a long-term retained burden of greater than 0.37 MBq 90Sr/kg. Thrombocytopenia and neutropenia persisted in all exposed dogs through 1000 days after exposure. For reference purposes, a burden of 0.37 MBq 90Sr/kg is calculated to deliver an average radiation dose to the skeleton over 30, 100, and 1000 days after intake of 1.0, 2.8, and 17 Gy, respectively. The hematologic changes were similar to those seen in people exposed to high doses of whole-body external radiation.

Deposition, metabolism, and excretion of 1-[14C]nitropyrene and 1-[14C]nitropyrene coated on diesel exhaust particles as influenced by exposure concentration

Nitrated polycyclic aromatic hydrocarbons (nitro-PAH) have been detected in the environment, originating from sources such as diesel exhaust emissions and coal combustion fly ash. 1-Nitropyrene (NP) is a predominant mutagenic and carcinogenic nitro-PAH found in diesel exhaust emissions. Since inhalation of NP is a likely route of exposure in humans, it is important to determine the biological fate of inhaled NP both in its pure form and associated with particles. The purpose of this study was to determine the disposition of NP aerosols inhaled by rats. The studies described in this paper were designed to determine the deposition of [14C]NP over a range of exposure concentrations, identify the pathways and half-times for excretion of absorbed NP, and determine the distribution of inhaled NP and metabolites in tissues. Male F344 rats were exposed nose only to various concentrations of NP and NP coated on diesel exhaust particles (50-1100 ng/liter). The results indicate that, over the range of concentrations tested, pathways for excretion of [14C]NP equivalents in urine and feces were independent of the exposure concentration of NP, whether in its pure form or associated with diesel exhaust particles. In all cases, fecal excretion was the major route of elimination of [14C]NP equivalents, with about 2 times more excreted by this route than by urine. The fractional deposition of [14C]NP in the respiratory tract did not appear to be dependent on exposure concentration. Half-times for elimination of 14C in urine and feces were about 15 to 20 hr. In all exposures, 14C was widely distributed in the tissues examined. Analysis of the tissues for NP and its metabolites indicated that within 1 hr after exposure, greater than 90% of the 14C was NP metabolites. Lungs of rats exposed to [14C]NP coated on diesel exhaust particles contained nearly 5 times more 14C than lungs from rats exposed to pure aerosols of [14C]NP (148 vs 29 pmol/g lung) within 1 hr after exposure. This difference was increased to 80-fold at 94 hr after exposure (80 vs 1 pmol/g lung). Long-term clearance half-times of 14C from various tissues were similar. The results demonstrate that particle association of NP significantly alters the biological fate of inhaled NP.