Age-dependent vulnerability of brain choline acetyltransferase activity to transient cerebral ischemia in rats

Male Fischer-344 rats aged 6, 12, or 24 months were subjected to four-vessel occlusion cerebral ischemia to assess age-dependent ischemic vulnerability of cholinergic and GABAergic neurons based on choline acetyltransferase (EC 2.3.1.6) and glutamic acid decarboxylase (EC 4.1.1.15) activities. Activities of both enzymes were similar (p greater than 0.05) in 6- (n = 5) and 12- (n = 5) month-old rats. Mean +/- SEM choline acetyltransferase activities in the cortex, hippocampus, striatum, and cerebellum of 6-month-old controls were 75 +/- 5, 123 +/- 9, 415 +/- 9, and 50 +/- 4 nmol acetylcholine/hr/mg protein, respectively, and were 20-30% lower (p less than 0.05) in all brain regions except the cerebellum in 24-month-old controls. Choline acetyltransferase activity was unaffected by ischemia in 6- and 12-month-old rats but was reduced by 30-60% in 24-month-old rats. Mean +/- SEM glutamic acid decarboxylase activities in the cortex, hippocampus, striatum, and cerebellum of 6-month-old controls were 98 +/- 8, 86 +/- 7, 144 +/- 13, and 125 +/- 9 nmol gamma-aminobutyric acid/hr/mg protein, respectively, and 25-35% lower in all regions of 24-month-old controls. After 30 minutes of ischemia and 5 days of recovery, glutamic acid decarboxylase activities were reduced (p less than 0.05) in all brain regions and age groups. However, its activity was decreased (p less than 0.05 compared with age-matched controls) by 55% in the cortex and 79% in the hippocampus of 24-month-old rats compared with 30% and 45% in younger rats.(ABSTRACT TRUNCATED AT 250 WORDS)

Tiapride in the long-term management of alcoholics of anxious or depressive temperament

Thirty-two chemically dependent alcoholics with significant levels of anxiety or depression were admitted to a double-blind randomised study in which the effect of the substituted benzamide tiapride was compared with that of placebo over a 6-month period. Twenty patients completed the study. Assessments included relevant biochemical and haematological tests, drinking levels and associated behaviour, expressed satisfaction with various areas of life, the Crown-Crisp Experimental Index of neurotic symptoms and questionnaires on self-esteem and alcohol dependence. The results indicated that in comparison with the placebo group, patients treated with tiapride drank less and had longer periods of abstinence. This was associated with improvements in laboratory tests, reduction in neurotic symptoms, gains in self-esteem and increased levels of expressed satisfaction with life situation. The drug was well tolerated and no deleterious effects were noted, suggesting its potential usefulness for this patient group.

Lactobacillemia of amniotic fluid origin

Four cases of amnionitis due to Lactobacillus sp and three cases of bacteremia are reported. Postpartum endometritis developed in all four cases. Lactobacillus bacteremia occurred in two infants. A review of the literature on serious infections due to Lactobacillus sp is also presented. The importance of considering the clinical role of any microorganism isolated in pure culture from symptomatic patients is discussed.

Multiple "cold" areas demonstrated on bone scintigraphy in a patient with neuroblastoma

A "cold" or photopenic defect on bone scintigraphy is a well recognized phenomenon and has been described in several conditions affecting bone. An unusual case of multiple "cold" defects in a patient with stage IV neuroblastoma is presented. A follow-up scan with the patient in clinical remission shows resolution of these "cold" defects. The patient subsequently relapsed and again multiple new "cold" defects were noted on bone scintigraphy. The possible etiology of "cold" defects is discussed.

Social and psychological characteristics of alcoholics: a male--female comparison

Male and female alcoholics from a public health clinic were compared on social and psychological characteristics. Although sex was not found to be associated with the number of close friends reported by subjects, it was found to be significantly associated with designations of the alcoholic's "significant others", incidence of marital difficulty and with scores on the Definition of Alcohol Scale and the Neuroticism Index. There was a statistically significant relationship between sex and the number of social complications resulting from alcohol abuse; however, male and female alcoholics conceptualized their drinking as a problem in strikingly similar ways.

First drinking experiences and present drinking patterns: a male-female comparison

The authors predicted that sex roles in America would contribute to variation between male and female alcoholics in first drinking experiences and current drinking patterns. Moderate support for this hypothesis was observed. Though first drinking experiences were found to be very similar for males and females, females reported a significantly longer period of time between their first and second drinks of an alcoholic beverage. Females were significantly more likely to have consumed their first alcoholic beverage with family members, while males more commonly were with friends. Beer was the most frequently consumed beverage of the first drinking occasion for both sexes; the second most popular beverage among men was whiskey, while women chose mixed drinks. Regarding current drinking patterns, men drank significantly more often than women. The differences pertaining to general drinking pattern (drinking daily, several times a week, or on weekends, or engaging in binge drinking) approached significance.

Fulminant neonatal sepsis and necrotizing enterocolitis associated with a "nonenteropathogenic" strain of Escherichia coli

During 1973 a nonendemic mucoid strain of Escherichia coli entered the nursery of a hospital in Houston. This organism caused septicemia and was associated with a high incidence of necrotizing enterocolitis. The illness was fulminant and characterized by apnea, abdominal distension, and shock. Diarrhea was not a feature of the symptom complex. The epidemic organism was nontypable. Assays for invasiveness, enterotoxin production, and Kl antigen were negative. Surveillance revealed a colonization rate of 14%, an attack rate in colonized infants of 19.5%, and a mortality rate of 87.5%. These data suggest that in certain instances the specific bowel flora may increase the incidence and severity of NEC.