Gelatinase activities in wounds of healing-impaired mice versus wounds of non-healing-impaired mice

The gelatinases, matrix metalloproteinase-2 and -9 (MMP-2 and MMP-9), have been implicated in different aspects of wound repair. However, little is known about MMP-2 and MMP-9 activity in animal models of impaired wound healing. We sought to compare serial gelatinase activities for 25 days after full-thickness excisional wounds in genetically diabetic healing-impaired mice and their nondiabetic non-healing-impaired littermates. Wound samples were frozen, homogenized, clarified by centrifugation, and analyzed on zymography gels, and MMP bands were quantitated relative to a conditioned media standard from HT-1080 cells. Gelatinase activity in both diabetic mice and nondiabetic mice increased after the mice were wounded. However, levels of latent gelatinases peaked earlier in the diabetic wounds, and there was more active MMP-2 and MMP-9 in the wounds of the diabetic mice than in the wounds of the nondiabetic mice. Because the higher gelatinase activity in the wounds of the diabetic mice was similar to the higher levels of gelatinase reported in difficult-to-heal wounds such as ulcers and burns, this diabetic mouse model may be useful for studies of these proteinases and their inhibitors in impaired wound healing.

Living with a child with fetal alcohol syndrome

PURPOSE

To describe the experiences of foster parents who are living with a child diagnosed with Fetal Alcohol Syndrome (FAS).

DESIGN AND METHOD

A qualitative approach was selected due to the paucity of knowledge on the topic. Eight foster mothers living with children with FAS were studied. These foster parents had parented a collective total of 17 children with FAS, ranging between the ages of 2 and 16. Each in-depth interview was unstructured and consisted of open-ended questions. Data were analyzed using content analysis.

RESULTS

Foster parents described many difficult issues needing attention in children with FAS. Cognitive concerns included diminished memory/comprehension, lack of understanding of consequences, and the absence of fear. Behavioral management was a problem due to the frequent occurrence of hyperactivity, aggressiveness, destructiveness, and high pain tolerance. Parents also described problems in coping with daily realities of life with a child with FAS including the necessity of providing consistency, coping strategies, and fears for the child's future.

CLINICAL IMPLICATIONS

Nurses need to understand the complex problems that face affected children and their families. Understanding the daily realities of living with children with FAS allows nurses to realistically assess childrens' abilities, maximize their development, and provide for their needs more effectively, as well as assisting families to cope with the behavior and cognitive issues so apparent in children with FAS.

Candidates stick to party guns. In lieu of new healthcare plans, Bush, Gore follow party reform proposals

As the Democratic and GOP nominating conventions approach next month, presumptive nominees Al Gore and George W. Bush are offering no new healthcare plans, both preferring to ride the healthcare waves already set in motion by their respective party's leadership. And the really interesting thing is, the plans aren't that different. Call it creeping incrementalism.

An arthrogenic alphavirus induces monocyte chemoattractant protein-1 and interleukin-8

Cytokines and chemokines play important roles in both autoimmune and infectious arthritides. Here we describe the cytokines and chemokines induced by Ross River (RR) virus infection of synovial fibroblasts and macrophages in vitro. RR virus is the aetiological agent of epidemic polyarthritis (EPA), a principally acute and chronic rheumatic disease affecting up to 7,000 Australians annually. Infected fibroblasts increased expression of mRNA coding for monocyte chemoattractant protein-1 (MCP-1), interleukin-8 (IL-8), and granulocyte-macrophage colony-stimulating factor. MCP-1, IL-8, macrophage inflammatory protein-2, and to a lesser extent interferon gamma-induced protein-10 mRNA were upregulated in infected macrophages. Expression of MCP-1 is consistent with the predominantly monocytic effusion found in EPA synovia.

Impact of western corn rootworm (Coleoptera: Chrysomelidae) on sweet corn and evaluation of insecticidal and cultural control options

The western corn rootworm, Diabrotica virgifera virgifera LeConte, is an important pest of corn, Zea mays L., causing yield losses from root damage, plant lodging, and silk feeding. Because little is known about its impact on sweet corn, we conducted research to evaluate the combined effects of insecticide, planting date, and cultivar on root damage, plant lodging, and yield in central New York sweet corn. We also examined the influence of planting date and cultivar on the emergence of adult western corn rootworms. The research was conducted in 1994 and again in 1995 by using a split-split plot experimental design with insecticide as main plot, planting date as subplot, and cultivar as sub-subplot. The effect of cultivar on beetle emergence was not significant. Root damage was not correlated with adult emergence in 1994 but was positively correlated in 1995. In 1994, there was no interaction of the main factors, and all factors had a significant impact on root damage. In 1995 there was an interaction of insecticide and planting date, and of cultivar and planting date. Generally, root damage was reduced by insecticide and later planting. Plant lodging was affected by the interaction of insecticide and planting date, and the interaction of cultivar and planting date, for both years of the study. As with root damage, lodging was reduced with insecticide treatment and later planting but also was dependent on cultivar. In 1994 and especially in 1995, silk clipping by adult western corn rootworms precluded much inference about how yield was influenced by larval feeding damage on roots. The number of emerging western corn rootworm adults was lower and later in later plantings.

Childhood diethylene glycol poisoning treated with alcohol dehydrogenase inhibitor fomepizole and hemodialysis

Diethylene glycol (DEG), a commonly used solvent, has been implicated in multiple poisoning deaths, the most recent being the Haitian acetaminophen tragedy. Unlike the more commonly seen ethylene glycol ingestion, little is understood of DEG metabolism or kinetics in humans. This has made the clinical presentation, biochemical correlates, and treatment options unclear. Patients presenting less than 12 hours after DEG ingestion may not show metabolic acidosis, whereas those presenting later may show florid metabolic acidosis. Kinetic data lend support to these observations. We report a case of DEG ingestion in a 17-month-old girl who was managed with activated charcoal, fomepizole (a recently available alcohol dehydrogenase inhibitor), and hemodialysis (HD). Pre-HD and post-HD DEG levels support clearance of DEG with HD.

Mutations in Sox18 underlie cardiovascular and hair follicle defects in ragged mice

Analysis of classical mouse mutations has been useful in the identification and study of many genes. We previously mapped Sox18, encoding an SRY-related transcription factor, to distal mouse chromosome 2. This region contains a known mouse mutation, ragged (Ra), that affects the coat and vasculature. Here we have directly evaluated Sox18 as a candidate for Ra. We found that Sox18 is expressed in the developing vascular endothelium and hair follicles in mouse embryos. Furthermore, we found no recombination between Sox18 and Ra in an interspecific backcross segregating for the Ra phenotype. We found point mutations in Sox18 in two different Ra alleles that result in missense translation and premature truncation of the encoded protein. Fusion proteins containing these mutations lack the ability to activate transcription relative to wild-type controls in an in vitro assay. Our observations implicate mutations in Sox18 as the underlying cause of the Ra phenotype, and identify Sox18 as a critical gene for cardiovascular and hair follicle formation.

Effect of pre-existing cytotoxic T lymphocytes on therapeutic vaccines

Therapeutic vaccines which aim to induce CD8(+) cytotoxic T lymphocyte (CTL) responses will often be required to perform in the presence of pre-existing CTL which recognize epitopes within the vaccine. Here we explore the ability of a viral vaccine vector presenting several co-dominant CTL epitopes to prime CTL responses in animals that have a pre-existing CTL response to one of the epitopes in the vaccine. The vaccine was usually capable of inducing multiple new responses, suggesting that immunodomination effects of pre-existing CTL may generally be minimal following vaccination. However, when large numbers of pre-existing CTL were present, a novel type of immune modulation was observed whereby (1) the vaccine failed to prime efficiently new CTL responses that were restricted by the same MHC gene as the pre-existing responses, and (2) vaccine-induced CTL responses restricted by other MHC genes were enhanced. These results may have implications for therapeutic multi-epitope vaccines for diseases like HIV and melanoma, which aim to broaden CTL responses.

The HIPAA lurks. Just when CIOs thought it was safe for business as usual

Just when healthcare chief information officers thought it was safe to return to business as usual, along comes the administrative simplification provisions of the Health Insurance Portability and Accountability Act of 1996. Those regulations, which will require providers to reconfigure patient records into an electronic format, will be anything but simple for hospitals, systems and insurers.

It may be politics over policy in 2000

Thanks to election-year realities, it's likely to be politics over policy on Capitol Hill in 2000. Congress and the Clinton administration have plenty of unfinished healthcare business, but with the pressures of the campaign trail, expect a shortened legislative window of opportunity. While healthcare remains high on everyone's agenda, the likelihood of compromise remains low.