Anti-inflammatory factors in sponge-induced exudate in the rat

Sterile polyester sponge-induced exudates in the rat have been investigated for high molecular weight substances with anti-inflammatory activity against carrageenan-induced oedema in the rat. The only substances found with this activity were dialysable molecules. Crude but sterile protein fractions isolated from exudate stabilized guinea-pig macrophages at low concentrations. The proteins present in exudates appeared to be identical to normal rat plasma proteins. It is concluded that anti-inflammatory activity associated with high molecular substances in exudate may have been due to bacterial contamination.

Putrescine--a potent endogenous anti-inflammatory substance in inflammatory exudates

Sponge-induced exudate from the rat and saline extracts of normal rat liver and rat liver damaged in situ by dimethylnitrosamine have been assayed for putrescine, spermidine and spermine levels. The three physiological oligoamines have been examined for anti-inflammatory activity by the carrageenan-induced oedema rat model and spermidine and putrescine were found to be anti-inflammatory with putrescine being about ten times as active as spermidine. Putrescine was also anti-inflammatory in the adjuvant arthritic rat model. Thioacetamide and theophylline were also anti-inflammatory and theophylline doubled the level of putrescine in rat liver. It was concluded that putrescine was a potent anti-inflammatory factor in the inflammatory exudates and extracts examined.

Events in the cytoplasm during male meiosis in Lilium

An electron microscopic investigation of the events associated with meiosis in Lilium has revealed a number of changes in both the organellar population and the other cytoplasmic components. Ribosome numbers decrease significantly in early prophase and are later replenished in the tetrads, a process most likely involving the newly arising cytoplasmic nucleoloids. The organelles show a cycle of de- and redifferentiation and later in meiosis unusual internal structures can be seen before these organelles enter a division phase resulting in increased numbers. The localization of acid phosphatase during these changes has also been studied using electron microscopic cytochemical methods. In early prophase, considerable amounts of acid phosphatase are found in vesicles scattered through the cytoplasm; activity is also found in association with most membranous surfaces and often markedly associated with condensing mitochondria. Later in prophase the enzyme activity decreases to normal levels. Electron microscopic autoradiography revealed that DNA is synthesized in both plastids and mitochondria during meiotic prophase with activity reaching a peak during zygotene and ceasing by diakinesis and tetrad formation. These changes point to a certain independence of organelles from nuclear control during meiosis. The events are also evaluated in relation to a cytoplasmic clearing mechanism, which may occur in preparation for the changeover from sporophytic to gametophytic control and the development of gametes.

Psychiatric education for primary care: a pilot study of needs of residents

The study reported here documents a variety of psychiatric educational needs of residents in internal medicine. By studying 150 medical outpatients, the authors found that 59 percent of the patients had probable emotional disorders, 48 percent suffered from significant symptoms of depression, negative life events and low social support were significantly associated with both probable emotional disorder and depressive symptoms, only 20 percent of the patient charts contained psychiatric diagnoses, 78 percent of the charts contained no mental status data, patients on the average could report only 56 percent of their diagnoses and 60 percent of their management plans, and 70 percent of the patients reported that they were not asked about personal problems. These results have formed the basis for a psychiatric educational program in internal medicine at the University of Alabama in Birmingham and will serve as pretraining comparison data for the evaluation of outcome.

An oral examination of the psychiatric knowledge of medical housestaff: assessment of needs and evaluation baseline

To assess the psychiatric knowledge of medical housestaff, the authors devised an oral examination based on two simulated clinical encounters and administered it to 26 medical residents. The case material embodied those psychiatric problems known to be common in medical populations, namely depression, delirium, dementia, and "psychogenic" pain. The standardized simulations were punctuated by standardized "open" questions with followup probes. A panel of experienced clinicians developed rating criteria for each question such that responses could be categorized ad "good," "adequate," "inadequate," or "poor," in terms of "what an internist needs to know." Blind raters of the exam achieved an interrater reliability of 0.08. The results indicate major deficits in the knowledge needed for assessment and treatment of these common problems. Only 16% of answers were "good," where as 42% were "inadequate" or "poor". For example, 88% of the doctors could not name three factors that help distinguish organic from "functional" psychosis, and 88% could not list three side-effects of tricyclic antidepressants. The doctors' level of experience was not correlated with test scores, either overall or question by question. These results, together with measures of attitude and skill, have been used to develop a needs-based liaison psychiatry curriculum and to evaluate the effectiveness of that curriculum.

Learning about death: a project report from the Edinburgh University Medical School

A report of a problem-based learning project on the ethics of terminal care, offered as one of the options available to first year MB ChB students in Edinburgh University Medical School. The project formed part of the 'clinical correlation course' in the new curriculum. Six students took part under the supervision of two clinical tutors and a moral philosopher. The course was case-based and practical with students being given the opportunity over a period of eight weeks to meet patients, relatives and hospital staff at a local geriatrics hospital and terminal care home. The main issue studied was the degree of choice available to patients electing to be treated at home, in hospital or in a hospice. Other issues included: pre-death, disposal of the dead, certification of death, communication with relatives and follow-up bereavement services.

Dentition of Chilean paleo-Indians and peopling of the Americas

Teeth of 12 cremated paleo-Indians (11,000 years old) from caves in southern Chile have crown and root morphology like that of recent American Indians and north Asians, but unlike that of Europeans. This finding supports the view that American Indians originated in northeast Asia. This dental series also suggests that paleo-Indians could easily have been ancestral to most living Indians, that very little dental evolution has occurred, and that the founding paleo-Indian population was small, genetically homogeneous, and arrived late in the Pleistocene.

Plasma lipoprotein levels and the prevalence of hyperlipoproteinemia in a Canadian working population

The lipids and lipoproteins - cholesterol (C), triglyceride (TG) and high-density, low-density, very-low-density and sinking pre-beta-lipoprotein cholesterol (HDL-C, LDL-C, VLDL-C and SPB-C) - in plasma samples from 1620 fasting white adults and children from the Toronto-Hamilton area were analysed. The mean concentration of HDL-C was about 45 mg/dl in men and about 60 mg/dl in women, and the levels were constant throughout adult life in both sexes. Boys had higher mean HDL-C levels than men, but girls had lower mean HDL-C levels than women. Mean LDL-C levels, like total C levels, increased with age, from about 87 mg/dl in boys to 136 mg/dl in men, and from about 91 mg/dl in girls to 145 mg/dl in women. The mean levels of VLDL-C followed the TG patterns for age and sex, rising from about 7 mg/dl in boys to 26 mg/dl in men, and from about 11 mg/dl in girls to 19 mg/dl in women. SPB-C was detectable visually in 39% of the population and with the aid of densitometry in 54%; the levels were not related to age, sex or oral contraceptive use, and the median level was 3 mg/dl.Prevalence estimates of hyperlipoproteinemia showed that type IV was the most common, and it was found more than three times as often in men as in women. This was in part due to the customary use of plasma TG cut-off points that do not reflect the large difference in TG levels between males and females. Type IIA hyperlipoproteinemia was found in about 2% of the adults and type IIb in a further 1%. Types I, III and V were all rare. The prevalence of types II and IV hyperlipoproteinemia was four times greater in women using oral contraceptives than in nonusers in the same age range.

Nurse therapists in psychiatry: developments, controversies and implications

This paper concerns a new clinical role for psychiatric nurses--as case managers for selected adult neurotics with behaviour problems. The role involves unusual autonomy. The selection and training procedures are unusually rigorous and focus on general case-management as much as behavioural skills. The number of service posts offered these therapists is rising. These developments have wide implications for other personnel, particularly in respect of authority and responsibility boundaries, selection and training procedures, and team structure.

Anti-inflammatory action following liver damage in the rat

A high molecular weight protein fraction, obtained by column chromatography of saline extracts of the livers of rats that had previously been treated with dimethylnitrosamine, was found to have anti-inflammatory activity against carrageenin induced inflammation in the rat. Evidence was presented that the anti-inflammatory activity may be due to a protein fragment produced by proteolysis of a larger molecule.