Visual rehabilitation in low vision patients with age-related macular degeneration

Using optical visual aids, visual rehabilitation was performed in 14 low vision patients (25 eyes) with age-related macular degeneration. With distance aids, visual acuity improvement appeared in 24 eyes (95%) out of the 25 eyes. Twelve eyes (48%) obtained a visual acuity equal to or better than 0.4. With near visual aids, near acuity of all eyes (100%) was improved. Thirteen eyes (52%) got the near vision equal to or better than 0.5. Ten patients could read No. 5 Chinese Reading Card. The reading success rate was 71.4%. The results suggest that application of visual aids is an effective method to improve the distant and near visual acuity of low vision patients with AMD.

Effect of intravitreal dexamethasone on ocular histopathology in a rabbit model of endophthalmitis

The histologic and clinical effect of intravitreal dexamethasone was studied in a rabbit model of experimentally induced gentamicin sensitive Staphylococcal epidermidis endophthalmitis. The study compared four treatment groups: vitrectomy alone (group I), vitrectomy plus intravitreal gentamicin (group II), vitrectomy plus intravitreal gentamicin and dexamethasone (group III), and intravitreal gentamicin and dexamethasone without vitrectomy (group IV). All eyes treated with dexamethasone, with or without vitrectomy, exhibited less clinical and histologic manifestations of inflammation. This study suggests that suppression of inflammation through the use of intravitreal dexamethasone leads to preservation of ocular architecture with potentially improved retinal function and visual benefit.

[Chemiluminescent immunoassay for insulin]

In this paper is reported solid phase chemiluminescent immunoassay for insulin with N-(4-aminobutyl)-N-ethylisoluminol (ABE1) labelled antibody and a double antibodies sandwich procedure. ABEI-CoCl2-H2O2 was used as the chemiluminescent system and the linear range of insulin was 0.3-150 microU/tube. The correlation coefficient of the log-log regression equation was 0.985 and the absolute limit of detection 0.32 microU/tube.

Margins drop in first quarter as admissions decline sharply

The recession has had a significant impact on hospital utilization, finances and staffing; all are lower than a year ago, according to the American Hospital Association. Among the worrisome benchmarks: a sharp decline in inpatient admissions in the first quarter.

Temperature-induced protein synthesis in Bacillus stearothermophilus NUB36

Cultures of Bacillus stearothermophilus subjected to a temperature shift-up or shift-down of 15 degrees C within the normal temperature range of growth (45 to 65 degrees C) enter a transient adaptation period before exponential growth at the new temperature. The de novo synthesis of some proteins coincides with the adaptation period.

[A long-term follow-up of 29 cases of benign epilepsy in childhood with central-temporal electroencephalographic foci]

29 cases of benign epilepsy in childhood with central-temporal EEG foci (BECCT) were followed up from 2 to 9 years clinically and electro encephalographically. Focal discharges in several cases were found to be changeable from one cerebral hemisphere to another. The subsidence of clinical seizures usually preceded epileptic discharges. Such focal discharges often disappeared before puberty whereas the clinical seizures would not manifest themselves even earlier. Small doses of antiepileptic drugs were effective for the majority of such patients. One patient with occasional seizures but without medication had been observed.

Cloning and characterization of a glutamine transport operon of Bacillus stearothermophilus NUB36: effect of temperature on regulation of transcription

We cloned and sequenced a fragment of the Bacillus stearothermophilus NUB36 chromosome that contains two open reading frames (ORFs) whose products were detected only in cells of cultures grown in complex medium at high temperature. The nucleotide sequence of the two ORFs exhibited significant identity to the sequence of the glnQ and glnH loci of the glutamine transport system in enteric bacteria. In addition, growth response to glutamine, sensitivity to the toxic glutamine analog gamma-L-glutamylhydrazide, and glutamine transport assays with parental strain NUB3621 and mutant strain NUB36500, in which the ORF1 coding segment in the chromosome was interrupted with the cat gene, demonstrated that glnQ and glnH encode proteins that are active in the glutamine transport system in B. stearothermophilus. The inferred promoter for the glnQH operon exhibited a low homology to the -35 and -10 regions of the consensus promoter sequences of Bacillus subtilis and Escherichia coli genes. In addition, the inferred promoter for the glnQH operon also exhibited a low homology with the consensus promoter sequence deduced from the sequences of the promoters of nine different genes from B. stearothermophilus. Transcription of the glnQH operon was activated in a nitrogen-rich medium at high temperature and inhibited under the same conditions at low temperature. Transcription of the glnQH operon was partially activated in a nitrogen-poor medium at low temperature. The region upstream from glnQ contains sequences that have a low homology with the nitrogen regulator I-binding sequences and the nitrogen-regulated promoters of enteric bacteria. The effect of temperature on the regulation of the glnQH operon is discussed.

[The color vision in patients with optic neuritis and chronic open-angle glaucoma]

Twenty eight cases (50 eyes) of chronic open-angle glaucoma and 21 cases (27 eyes) of optic neuritis were investigated with FM 100-hue test and panel D-15 test. In patients with optic neuritis, 70.37% and 85.19% of the affected eyes appeared abnormal in Panel D-15 test and FM 100-hue test respectively. The main defects were tritan-like in both of the tests. In patients with chronic open-angle glaucoma, 20% and 32% of the affected eyes had abnormal results in Panel D-15 test and FM 100-hue test respectively. The main defects were also tritan-like color vision defect. The total error scores of FM 100-hue test in patients with chronic open-angle glaucoma had no relation with the cup disc ratio and the area of peripheral visual field but had relation with the area of central visual field.

[Visual rehabilitation in low vision patients with aging macular degeneration]

Using optical visual aids, visual rehabilitation were performed in 14 cases (25 eye) of low vision patients with aging macular unity of all eyes (100%) was improved. Thirteen eyes (52%) got the near vision equal to or better than 0.5. Ten patients could read No. 5 Chinese Reading Card. The reading success rate was 71.4%. The results suggest that application of visual aids is an effective method to improve the distance and near visual acuity of low vision patients with AMD.

The frequency and significance of ECG changes after transurethral prostate resection

Although many clinicians routinely recommend a base-line preoperative electrocardiogram (ECG) and obtain frequent postoperative ECGs to screen for myocardial infarction or ischemia, the diagnostic utility of screening perioperative ECGs is unknown. The present analysis evaluates the sensitivity and specificity of the perioperative ECG and examines its value as a predictor of early postoperative cardiac events and outcomes during the postoperative year. ECGs obtained preoperatively and on the first 3 postoperative days in 206 men undergoing transurethral prostate resection were analyzed using the Minnesota Code. The occurrence of cardiac events during the operative stay was assessed by measurement of the cardiospecific MB creatine kinase isoenzyme on the first 3 postoperative days and review of the entire clinical course. Twenty-one percent of patients developed postoperative ECG changes, mostly involving the T wave; none had cardiac symptoms or sustained creatine kinase MB elevation. Changes were not significantly more common in men known to have coronary disease. The single patient who had a perioperative myocardial infarction confirmed by enzymes had no codable ECG changes. The specificity of any ECG change for perioperative infarction was 78%; of ST segment changes only, 95%. Only one of the patients (2%) who had postoperative ECG changes had a cardiac event in the year after surgery. Routine perioperative ECGs is of little diagnostic/predictive utility in situations in which the incidence of perioperative myocardial infarction is low.

Hospitals end 1990 with negative net patient margin in aggregate

The economic outlook for hospitals clouded over considerably in 1990, according to the latest report from the American Hospital Association. By year end, according to the AHA's National Hospital Panel Survey, hospitals ended with a negative net patient revenue margin, influenced strongly by lower admissions and higher inflation. An increase in total expenses may also be related to the expansion of outpatient services and continuing growth in health care employment.

[Bulbar conjunctival microcirculation in schizophrenics]

A comparative observation on bulbar conjunctival microcirculation (BCM) between 38 schizophrenics and 38 normal controls was carried out. The results showed 95% abnormal BCM in schizophrenics. And among them, the moderate and severe abnormal BCM was 74%. And in all of the 14 investigated items, the general abnormalities were 50%. But in normal controls, abnormal BCM was 27%, and just a few of them appeared the general abnormalities, and no one suggested moderate and severe abnormal BCM. As compared the results obtained in schizophrenics with those in normal controls, we found 12 investigated items such as irregularity in diameter, dilatation and tortuosity of tiny vena; irregularity in diameter, stiff of tiny arteria; small hemorrhagic spot, brown pigmentation, red blood cells collected in tiny vena and capillary, small vascular density, speed of blood flow and arterio-venous ratio were statistically significant.

The effect of genetic determinants of low density lipoprotein levels on lipoprotein (a)

Levels of Lipoprotein(a) [Lp(a)] correlate directly with atherosclerosis risk. The Lp(a) particle is physically and chemically similar to low density lipoprotein (LDL), the main difference being the presence of apolipoprotein(a) [apo(a)] bonded to the apoB-100 moiety of LDL. Genetic variation of apo(a) primarily determines Lp(a) phenotype. However, other genetic factors may also have a role in determining Lp(a) levels. Large families provide a unique opportunity to evaluate the contribution of genetic factors to disease. In several large Utah kindreds with various genetic abnormalities of lipoprotein metabolism we determined that: 1) Lp(a) levels are associated with defects at the apoB gene; 2) Lp(a) levels are not associated with defects at the LDL-receptor gene; 3) high density lipoprotein (HDL) levels are associated with genetic variation at the apo(a) locus; and 4) the DNA sequence of the apoB-100 binding domain does not vary between siblings with high and low Lp(a) levels.

The significance of testing preoperative visual function in cataract using laser interferometric visual acuity and ERG

Tests of preoperative visual function and prediction of postoperative E chart visual acuity (ECVA) using laser interferometric visual acuity (LIVA) and electroretinogram (ERG) were performed in 16 cases (19 eyes) of cataract. The results showed that the coincident rate between preoperative LIVA and postoperative ECVA was 63.2%, and there was a parallel correlation between preoperative amplitude of photopic ERG b-wave and postoperative ECVA in 79.0% of the eyes. Comparing these two methods, the test of LIVA is very simple, fast, and is easily accepted by the patients with cataract. ERG is an objective method, which is slightly influenced by dense lens, but the test is more complex. Therefore, the combined use of these two methods will provide a more comprehensive and correct evaluation of preoperative visual function and a more reliable prediction for postoperative visual acuity in patients with cataract.

[Effects of microinjection of tutin into nucleus tractus solitarius region on the morphology of neural tissue of this area in rabbit]

Four hours after unilateral microinjection of tutin (10 micrograms) into the NTS region, the nervous tissue surrounding the center of microinjection showed the following morphologic changes: 1. Under the light microscopic examination (n = 5), the neuronal body showed chromatolysis and the nuclear basophilia enhanced in about 17% of the neurons, the lacunae of neuropil distended and gave a "spongy" appearance. The neurons with lesion mingled with the normal ones in the absence of distinct demarcation. 2. Under the electron microscopic examination (n = 3), the cisterns of rough endoplasmic reticulum distended, and the nuclear electron density increased on account of the increased nuclear chromatin in the affected cells. The organelles of dendrites decreased or disappeared; the neuroglia looked edematous. There were only a few axons which looked edematous in the neuropil. Microinjection of the same volume (1 microliter) of NS into the other side of NTS region in the same rabbit didn't show any sign of damage as those described above. Thus, our preliminary results suggest that tutin might damage the soma and dendrites of some neurons, and therefore, it might be a neuroexcitotoxin.

CD4 expressed on earliest T-lineage precursor cells in the adult murine thymus

A continuous but low input of stem cells or 'prothymocytes' is necessary to maintain T-cell development in the adult thymus, but the colonizing cell has not been characterized. Precursors of T cells have been found in the minor CD4-8- population of thymocytes, but even the earliest cells of this population already have partially rearranged T-cell antigen receptor (TCR) genes. We now demonstrate that the thymus contains a minute population of lymphoid cells similar in some but not all respects to bone marrow-derived haemopoietic stem cells. This population has TCR genes in a germline state. It gives a slow but extensive reconstitution of both alpha beta and gamma delta lineages on transfer into an irradiated thymus, with kinetics indicating that it includes the earliest intrathymic precursor cells so far isolated. Surprisingly, these cells express low surface levels of the mature T-cell marker CD4.

Cyclic nucleotide phosphodiesterase of Dictyostelium discoideum and its glycoprotein inhibitor: structure and expression of their genes

The genes coding for the cyclic nucleotide phosphodiesterase (PD) and the PD inhibitory glycoprotein (PDI) have been cloned and characterized. The PDI gene was isolated as a 1.6 kb genomic fragment, which included the coding sequence containing two small introns and 510 nucleotides of non-translated 5' sequence. From the deduced amino acid sequence we predict a protein with a molecular weight (MW) of 26,000 that, in agreement with previous data, contains 15% cysteine residues. Genomic Southern blot analysis indicates that only one gene encodes the inhibitor. Northern blot analysis shows a single transcript of 0.95 kb. The PDI gene is expressed early in development with little transcript remaining following aggregation. The appearance of PDI mRNA is prevented by the presence of cAMP, but when cAMP is removed the transcript appears within 30 minutes. When cAMP is applied to cells expressing PDI the transcript disappears with a half-life of less than 30 minutes. The PD gene of D. discoideum is transcribed into three mRNAs: a 1.9 kb mRNA specific for growth, a 2.4 kb mRNA specific for aggregation, and a 2.2 kb mRNA specific for late development. The 2.2 kb mRNA is also specific for prestalk cells, and is induced by differentiation-inducing factor. All three mRNAs contain the same coding sequence, and differ only in their 5' non-coding sequences. Each mRNA is transcribed from a different promoter, and by using the chloramphenicol acyltransferase gene as a reporter, we have shown that each promoter displays the same regulation as its cognate mRNA.(ABSTRACT TRUNCATED AT 250 WORDS)

Gated cardiac blood pool studies in atrial fibrillation: role of cycle length windowing

Cycle length windowing is gaining increasing acceptance in gated blood pool imaging of patients with atrial fibrillation (AF). The goals of this study were: to assess differences of ejection fraction (EF) in AF with and without windowing and to determine how EF varied with cycle length in patients with AF. Twenty patients with AF were prospectively studied by gated blood pool imaging, with simultaneous collection in each patient of 5-7 studies with cycle length windows spanning the cycle length histogram. Each window accepted beats of only a narrow range of cycle lengths. EF was determined for each of the narrow cycle length windows as well as for the entire gated blood pool study without cycle length windowing. For every patient an average of the windowed EFs was compared with the non-windowed EF. EF values were similar (mean windowed: 46.6; non-windowed: 45.5; P = 0.16), and there was a good correlation between the two techniques (r = 0.97). The data were then examined for a relationship of EF with cycle length. The difference from average windowed EF (delta EF) was calculated for each window and plotted vs. the cycle length of the center of each window. No predictable linear or nonlinear relationship of delta EF with window position was observed. Lack of predictable variation of EF with cycle length is likely due to lack of a predictable amount of ventricular filling for a given cycle length, as the amount of diastolic filling in AF depends on the random cycle length of the preceding beat.(ABSTRACT TRUNCATED AT 250 WORDS)

2,3,7,8-Tetrachlorodibenzo-p-dioxin induces cytochrome P450IA1 enzyme activity by activating transcription of the corresponding gene

We have reviewed the transcriptional regulation of the CYP1A1 gene, which encodes the cytochrome P450IA1 enzyme. TCDD induces CYP1A1 transcription via a receptor- and enhancer-dependent mechanism that involves multiple protein-DNA interactions. The system provides an example of enzyme regulation at the level of gene transcription.

[Visual pigment genes for color vision defects]

Applying recombinant DNA techniques, the structures of red pigment gene (RPG) and green pigment gene (GPG) were analyzed for 43 patients with protan or deutan (including 3 females), 4 normal relatives and 3 carriers out of 3 families, as well as 11 normal controls. Abnormality of RPG was detected in all 19 protan and that of GPG was found in 14 out of 24 deutan. In about 80% (32/40) of protan and deutan the changing of exon 5 for RPG or GPG was discovered. In protan the normal RPG was replaced by a 5' red -3' green hybrid gene. Some of the deutan had no GPG, some had 5' green -3' red hybrid gene with or without GPG. Furthermore, the exon 5 of RPG and GPG was amplified by polymerase chain reaction (PCR) and further analyzed by Rsa I digestion. The results for PCR are identical to that of Southern blot hybridization.

[The visual evoked potentials in ischemic optic neuropathy]

In this study the pattern-reversal stimulation was used for analysing the clinical VEP in 27 cases (37 eyes) of ischemic optic neuropathy (ION), and combined uses of visual field (VF) and contrast sensitivity (CS) examinations were compared and observed with 3 kinds of spatial frequencies (60', 30', 15' check size), VEP in the eyes of ION displayed decrease in amplitude as a dominant manifestation accompanied by the slight increase of latency period. The abnormal latency and amplitude were 83.5% and 81.3% respectively. The decreased CS in the ION eyes was appeared mainly in the stimulation of middle and high frequencies or all frequency bands. There was a significant correlation between the VEP amplitude and CS in the patients with ION. The quadrant VF defect and bow-shaped scotoma were displayed in majority of the cases. Abnormal VEP was shown to be related to the central VF impaired. Among these patients, 7 cases (8 eyes) were followed up with VEP, however the VEP amplitude was shown decreasing somewhat compared with first exam. The results indicated that the ION was responsible for many visual function damages.

[Visual pigment genes for color vision defects]

Applying recombinant DNA techniques, the structures of red pigment gene (RPG) and green pigment gene (GPG) were analyzed for 43 patients with protan or deutan (including 3 females), 4 normal relatives and 3 carriers out of 3 families, as well as 11 normal controls. Abnormality of RPG was detected in all 19 protan and that of GPG was found in 14 out of 24 deutan. In about 80% (32/40) of protan and deutan the changing of exon 5 for RPG or GPG was discovered. In protan the normal RPG was replaced by a 5' red -3' green hybrid gene. Some of the deutan had no GPG, some had 5' green -3' red hybrid gene with or without GPG. Furthermore, the exon 5 of RPG and GPG was amplified by polymerase chain reaction (PCR) and further analyzed by Rsa I digestion. The results for PCR are identical to that of Southern blot hybridization.

[The visual-vestibular interaction in normal subjects]

Full-field optokinetic nystagmus (OKN) at constant speed of 40 0/s and 60 0/s, vestibular ocular reflex (VOR) (sinusoidal 0.2 Hz, 60 0/s peak velocity) with different background (light and dark) and VOR-fix were observed in 72 normal subjects (144 normal eyes). The gain, FCV and DP of OKN, VVOR, VOR were also analysed. The gain of OKN is reduced accompanied with stimulation increasing, while the FCV is increased. The gain of VVOR is 1.08 +/- 0.09 (X +/- SD), while the gain of VOR is 0.64 +/- 0.09. The FCV of VOR is much reduced than that of VVOR. The FCV in the groups under 30 years of age are much faster than the groups above 30 years of age. The VOR--fix gain is 0.05 +/- 0.04. The DP of OKN, VVOR, and VOR are 0.05 +/- 0.04. The results showed an co-operation between visual and vestibular systems and the results also suggested that the series methods of visual-vestibular interaction (OKN, VVOR, VOR, VOR-fix) might be useful in eye movement examination.

[The visual-vestibular interaction in normal subjects]

Full-field optokinetic nystagmus (OKN) at constant speed of 40 degrees/s and 60 degrees/s, vestibular ocular reflex (VOR) (sinusoidal 0.2Hz, 60 degrees/s peak velocity) with different background (light and dark) and VOR-fix were observed in 72 normal subjects (144 normal eyes). The gain, FCV and DP of OKN, VVOR, VOR were also analysed. The gain of OKN is reduced accompanied with stimulation increasing, while the FCV is increased. The gain of VVOR is 1.08 +/- 0.09(mean +/- SD), while the gain of VOR is 0.64 +/- 0.09. The FCV of VOR is much reduced than that of VVOR. The FCV in the groups under 30 years of age are much faster than the groups above 30 years of age. The VOR-fix gain is 0.05 +/- 0.04. The DP of OKN, VVOR, and VOR are 0.05 +/- 0.04. The results showed an co-operation between visual and vestibular systems and the results also suggested that the series methods of visual-vestibular interaction (OKN, VVOR, VOR, VOR-fix) might be useful in eye movement examination.

[Study on several systems used for chemiluminescent determination of horseradish peroxidase]

Four systems were studied used for chemiluminescent determination of HRP and the determination conditions optimized. In luminol-H2O2 (NaOH) system, HRP was determined conveniently in the range of 0.05-4 pmol, with a correlation coefficient of 0.998 for the linear log-log equation and a limit of detection of 16 fmol HRP. In pyrogallol-H2O2 (pH 6.5) system, 0.1-100 pmol of HRP were determined, based on three log-log regression equations with correlation coefficients of 0.997, 0.994 and 0.999, respectively, and limits of detection of 3-17 fmol HRP. Luminol-H2O2-para iodophenol system was used to determine HRP in the range to 10-50 fmol, based on the chemiluminescence intensity at 1 min and the correlation coefficient of the log-log equation being 0.996 with a limit of detection of 10 fmol HRP. When p-hydroxybiphenyl was used to take the place of p-iodophenol and the chemiluminescence intensity at 1 min or 3 min measured, 6-40 fmol HRP were determined with a correlation coefficient of 0.994 or 0.995 for the log-log equation and a limit of detection of 6.5 or 3.3 fmol HRP.

Identification of a nucleotide exchange-promoting activity for p21ras

The biological activity of proteins encoded by the ras family of oncogenes is dependent on whether they are bound to GTP or GDP: the type of nucleotide bound is dependent on the rate of GTP hydrolysis (promoted by the GTPase-activating protein, GAP) and the rate of nucleotide exchange with cytosolic pools. A protein that stimulates the rate of exchange of guanine nucleotide on p21ras has been identified and characterized in cytoplasmic extracts of human placenta. The exchange-promoting protein runs on a gel filtration column with an apparent relative molecular weight of about 60,000. It is sensitive to heat and to trypsin. The exchange-promoting protein acts reversibly and does not cause degradation of p21ras. It is inactive towards the alpha subunit of a heterotrimeric GTP-binding protein (Go alpha) but acts on a large number of different mutant ras proteins, including transforming and effector mutants that are insensitive to the action of GAP. This protein, which we have termed REP (ras exchange-promoting), has the characteristics expected of a physiological activator of p21ras in cellular growth-signal-transduction pathways.

A developmentally regulated and cAMP-repressible gene of Dictyostelium discoideum: cloning and expression of the gene encoding cyclic nucleotide phosphodiesterase inhibitor

A 1.6-kb genomic fragment containing the coding region for the inhibitor (PDI) of cyclic nucleotide phosphodiesterase (PD) was isolated and sequenced. The genomic sequence includes 510 nucleotides (nt) of 5'-noncoding sequence and the full coding sequence, which contains two small introns. From the deduced amino acid (aa) sequence we predict a 26-kDa protein that, in agreement with previous data, contains approximately 15% Cys residues. The PDI possesses a hydrophobic leader sequence, five potential glycosylation sites, and three internal repeats. Northern-blot analysis showed a single transcript of 0.95 kb. The gene encoding PDI (pdi) was expressed early in development with little transcript remaining following aggregation. The appearance of pdi transcript was inhibited by cAMP, but when cAMP was removed the transcript appeared within 30 min. When cAMP was applied to cells containing pdi mRNA, the transcript disappeared with a half-life of less than 30 min.

Organization and function of a dioxin-responsive enhancer

The dioxin-responsive enhancer upstream of the CYP1A1 gene contains four copies of the recognition motif for the liganded Ah receptor. The results of deletion analyses, linker-scanning analyses, and the analysis of individual enhancer subdomains reveal that each copy of the motif contributes to the response of the enhancer to 2,3,7,8-tetrachlorodibenzo-p-dioxin. In the context of the dioxin-responsive enhancer, a GC box, representing the DNA binding site for Sp1 (or a related transcription factor), has no detectable intrinsic activity but enhances gene expression when linked to a recognition motif for the liganded Ah receptor, thereby producing a synergistic effect on enhancer function.

Retinitis pigmentosa associated with glaucoma--clinical analysis

A clinical analysis of Retinitis Pigmentosa (RP) was made in 2,789 eyes of 1,400 patients seen over a 5 year period (1983-1987), 64 eyes of 32 cases (2.3%) of RP associated with glaucoma were investigated. Of these 32 cases, the angle closure glaucoma was much more than the open angle glaucoma (30/2). More than half of the 32 cases were without cupping of disk, 5 cases did not have the glaucomatous damage to disk in spite of persistent elevated intraocular pressure for 0.5-5 yrs under the maximum medical therapy. 31 cases (97%) had subnormal blood pressure compared with the normal blood pressure value in different age groups. Histopathologic changes of the trabecular meshwork (TM) of 14 eyes showed a little bit more pigment cells in the TM than normal subjects, no typical features that would obstruct the outflow channels.

The proportion of various types of congenital color vision defects

One hundred and three color vision defective subjects were screened from 3456 middle school students with pseudoisochromatic plate test. One hundred subjects out of them were further examined with a test battery including Panel D-15 and FM 100-hue test and Neitz anomaloscope test. It was found that there were 21 protanopes (P), 3 extremely protanomalous (EPA), 13 protanomalous (PA), 25 deutenopes (D), 5 extremely deuteranomalous (EDA), 28 deuteranomalous (DA), 6 unclassified subjects in our investigation. The proportion of various types of congenital color vision defects was P:EPA:PA:D:EDA:DA = 1.00:0.14:0.62:1.19:0.24:1.33.

[Study on change in zinc concentration for diabetic cataractous lenses in rats by means of XIXA]

The SD rats were injected with streptozotocin to induce diabetic cataract. Element Zn as well as K, Ca, Mn, Fe, Cu, Pb, Se, etc. in the eye lenses was determined by means of X-ray induced X-fluorescence analysis (XIXA). Compared to values for normal healthy rats, the concentration of Zn and Fe in the cataractous lenses increased, the concentration of K decreased, and that of the others did not change prominently. The change in Zn concentration was probably to meet the needs of the metabolic adjustment in the eye lenses, which would not be the reason for directly inducing diabetic cataract.

Clinical application of microcomputer to visual function examination

Microcomputer technique is put into use in ophthalmological clinical visual function examination. In visual EOG, ENG, visual tracking, contrast sensitivity and VEP examination, objectifying and standardization of experiment and data analysis are achieved by computer technique. In addition, a lot of manpower and time is saved, test results are obtained faster and more accurately. The basic rational of computerization in clinical visual function examination is presented.

ERG characteristics of congenital stationary night blindness

The ERGs of 9 cases (18 eyes) of congenital stationary night blindness with normal fundi or myopia were tested. All eyes showed nonrecordable rod ERG and cone ERG with normal a-wave. Scotopic mixed ERGs were of the negative type in 7 eyes and of the subnormal type in 11 eyes. The b/a ratio was reduced in all eyes. The ERG characteristics are useful for the classification, estimation of the probable location of the lesion, and differential diagnosis of the disease.

[Diagnostic value of amniotic fluid alkaline ribonuclease activity in anencephaly and IUGR]

Amniotic fluid and maternal serum alkaline ribonuclease (RNase) activities were measured in women with normal pregnancy, fetus, neural tube defect, and fetal intrauterine growth retardation (IUGR). Amniotic fluid alkaline RNase activity was high in anencephaly and IUGR. The mechanism of these changes and the clinical application of these findings are discussed.

Missense mutation (Gly----Glu188) of human lipoprotein lipase imparting functional deficiency

Cloning and sequencing of lipoprotein lipase (LPL) cDNA prepared from the adipose tissue of a patient with classical LPL deficiency revealed a G to A transition at nucleotide 818 in all sequenced clones, leading to the substitution of glutamic acid for glycine at residue 188 of the mature protein. Hybridization of genomic DNA with allele-specific oligonucleotides confirmed that the patient was homozygous for this mutation and revealed that carrier status for this mutation among relatives of the patient was significantly associated with hypertriglyceridemia. Assay of the patient's plasma for immunoreactive enzyme and activity demonstrated the presence of a circulating inactive enzyme protein, the concentration of which was further increased by injection of heparin. The mutant sequence was produced by oligonucleotide-directed mutagenesis, and both normal and mutant sequences were cloned into the expression vector pSVL and transfected into COS-1 cells. The normal sequence led to the in vitro expression of an enzyme that bound to heparin-Sepharose and had a specific catalytic activity similar to that of normal postheparin plasma enzyme. By contrast, the mutant enzyme expressed in vitro was catalytically inactive and displayed a lower affinity for heparin than the normal enzyme. We conclude that this single amino acid substitution leads to the in vivo expression of an inactive enzyme accounting for the manifestations of LPL deficiency noted in the patient.

Studies of neuron-specific enolase levels in serum and cerebrospinal fluid of children with neurological diseases

Neuron-specific enolase (NSE) has recently proved to be a useful marker of neuron damage. We determined NSE levels in the serum and CSF of 117 children with various neurological disorders (43 with febrile convulsion, 25 with seizure disorder, 32 with meningitis, 3 with brain tumor, 2 with Reye syndrome, 3 with congenital CNS malformation and 9 with other disorders). The purpose of this study is to assess the potential usefulness of NSE in diagnosis and prognosis. Twenty CSF and serum samples of children without neurological problem served as a control. The mean values of the NSE levels in the CSF and serum of the control group were 5.00 +/- 1.65 ng/ml and 8.34 +/- 4.40 ng/ml respectively. The peak values were found in cases with brain tumor. A patient died of Reye syndrome didn't show a very high level of NSE in the serum or CSF. However, we found significant differences in NSE levels between the patients with febrile convulsions and those with seizure disorders (non-febrile, abnormal EEG). Most of our patients with febrile convulsions were cases of simple febrile convulsion, and their NSE levesin the CSF and serum were 4.55 +/- 1.00 and 8.06 +/- 3.18 ng/ml. Cases with non-febrile seizure disorders had significantly higher level of NSE in both CSF and serum (P less than 0.05). Patients with purulent meningitis usually had higher levels than those with aseptic meningitis. Our study can be summarized thus: 1. A normal level of NSE does not exclude severe neuron damage.(ABSTRACT TRUNCATED AT 250 WORDS)

CD4-CD8- thymocytes that express the T cell receptor may have previously expressed CD8

Amongst CD4-CD8- (double negative) thymocytes there is a sizeable population (variable from strain to strain) of cells expressing surface T cell receptor (TCR). These TCR+ double negatives are predominantly non-cycling, have very little precursor activity, and, unlike the TCR-CD4-CD8- thymocytes, appear not to be part of the mainstream of thymocyte development. A unique feature of this population is the biased V beta-gene region usage. In CBA mice, 60-70% of TCR+ CD4-CD8- cells express receptors that utilize V beta 8 gene products, compared with peripheral T cells from the same strain which are only 20-30% V beta 8+. This suggests that the high V beta 8 usage may be the result of some selective process. A growing body of experimental data suggests that TCR specificity selection occurs at the CD4+CD8+ stage of thymocyte development. In order to gain some insight into the previous history of the TCR+ double negatives, in particular whether or not they have previously expressed CD8 and therefore been eligible for selection, we have determined the methylation state of the CD8 gene and compared it to other thymocyte populations. We show that the TCR+ CD4-CD8- thymocytes are demethylated at some sites in the CD8 gene, consistent with previous CD8 expression. However, the demethylation pattern is distinct from that seen on typical peripheral T cells or on mature thymocytes, suggesting that the TCR+ CD4-CD8- thymocytes are not derived from mature thymocytes or peripheral T cells which have returned to the thymus and downregulated CD8 expression.(ABSTRACT TRUNCATED AT 250 WORDS)