Regional chemotherapy in an experimental model of Wilms' tumor in rats

A s.c. experimental model of Wilms' tumor in rats was used to compare the effects of intratumoral treatment with vincristine plus actinomycin D to i.v. treatment with these chemotherapeutic drugs. The Wilms' tumor model is a fast-growing solid tumor that has been shown to be resistant to traditional clinical treatment procedures used for Wilms' tumor in man. Injection of the chemotherapeutic drugs directly into the tumor mass was found to be more effective than i.v. therapy in causing long-term remission of the tumor. Intratumoral therapy was also less toxic to the animals than i.v. therapy when measured by post-treatment survival rates and weight loss during the 1st week following treatment. However, intratumoral treatment caused an initial fibrosis of the tumor tissue, which resulted in a slower rate of absorption of the resultant fibrotic tumor mass than was seen in tumors treated i.v. Also, intratumoral injection resulted in necrosis of the overlying skin, which healed as the fibrotic tumor tissue was absorbed. Intratumoral treatment of a cervical tumor was found to cause the remission of a second major tumor mass located at some distance from the initial injection (i.e., in the lumbar region). No significant benefits were noted when dimethylsulfoxide (DMSO) was used in place of aqueous mannitol as a vehicle to deliver the chemotherapeutic agents. There was a significant correlation between the drug dose-to-tumor-size ratio (D/T ratio) and the effectiveness of the chemotherapy. When this ratio was high enough, a single treatment with a combination of vincristine and actinomycin D usually resulted in total remission of the experimental Wilms' tumor in response to either intratumoral or i.v. therapy.

Embedding prolene for the development of fiducial markers

A simple, inexpensive method is described for embedding Prolene with tissue samples to provide landmarks for fiducial points to align serial sections in tissue reconstructions. Prolene is a monofilament suture material that can be easily sectioned with diamond knives to provide circular markers in each section. The sections are photographed, the negatives are projected through an enlarger and the contours, Prolene circles, and scratches from the diamond knife are traced onto paper. These landmarks establish a framework for assigning fiducial points that are necessary for the correct alignment of the contours. No special equipment is needed for embedding the Prolene and the method is adaptable for both automated and nonautomated computer systems. An example of this method for tissue alignment is given using embryonic limb tissue to determine the spatial organization of developing blood vessels as demonstrated by computer reconstruction.

Blood grouping with the Olympus PK7100 testing system

The Olympus PK7100, an automated microtitre blood typing machine, identifies, aliquots, and dilutes samples, adds reagents, photometrically detects agglutination, and records reaction results, with a throughput of 240 samples/h. A total of 20,147 donors was tested in parallel with the Groupamatic 360. Of these, 207 could not be ABO typed after two runs. Three samples typed as B by the Olympus were found to be A2B. Seventy-seven could not be typed for D after two runs. Of these, 55 were Rh positive and 22 negative. The Olympus identified 37 of 48 Du positive samples as Rh positive, while it typed three as Rh negative, and eight as 'uncertain'. None of these samples was identified as Rh positive by the Groupmatic 360. The Olympus PK7100 is accurate, reliable, easy to operate, and capable of high throughput with minimal operator intervention.

Serum retinol levels of persons aged 4-74 years from three Hispanic groups

Previous research suggests that Hispanics in this country may have poor vitamin A status. Using serum retinol data from the Hispanic Health and Nutrition Examination Survey, we examined the vitamin A status of Mexican Americans (MA), Cubans, and Puerto Ricans (PR) aged 4-74 y. MA had lower mean serum retinol levels and higher prevalences of serum retinol in the range of 0.70-1.01 mumol/L than did Cubans in several age-sex groups. The prevalence (or percentage) of serum retinol in a range indicating possible risk of functional impairment was not elevated in any of the Hispanic groups except the females aged 18-44 y. However, a high percentage of children and adolescents in the three Hispanic groups had serum retinol values in ranges that might indicate less-than-optimal vitamin A status. Determination of vitamin A status requires a more definitive assessment than by serum vitamin A alone.

An evaluation of a dry-fat product as a source of supplemental energy in pig diets

Three feeding trials (278 pigs) and one balance trial (14 pigs) were conducted to evaluate acceptance and utilization of diets containing a dry-fat product containing 90% fat. The fat was a mixture of equal parts vegetable and animal fats. In Trial 1, 4-wk-old pigs fed diets with 5% dry-fat added had average daily gain (ADG), average daily feed intake (ADFI) and gain/feed (G/F) values equal to pigs fed the diet containing 4.5% liquid fat, the unprocessed equivalent to the dry-fat. Values for G/F with both diets were higher (P less than .05) than for pigs fed the unsupplemented control diet. In Trial 2, dry-fat and roasted soybeans were compared as sources of supplemental fat in diets for finishing pigs. Both were efficiently utilized, with no differences (P greater than .05) among diets. In Trial 3, diets with 0, 5 and 10% levels of added dry-fat were fed to pigs from 34 to 100 kg. Rates of gain were not affected, but ADFI decreased (P less than .05) and G/F increased (P less than .05) with increased fat level. Carcass measurements were not affected by dietary treatment, but iodine number of backfat increased (P less than .05) with dietary fat level. In Trial 4, values for grams of N absorbed and retained and megacalories of energy absorbed and metabolized did not differ (P greater than .05) between diets with 0 and 5% added dry-fat. These results show that the dry-fat product was efficiently utilized by growing and finishing pigs.

Survey of burn education in entry-level physical therapy programs

We investigated the extent of burn education in entry-level physical therapy curricula and also collected information about oncology instruction. A questionnaire was sent to the directors of 96 entry-level physical therapy curricula, and 76 directors responded. Most of the respondents (98.7%) indicated that burn and cancer management warranted lectures. The programs that quantified instruction averaged 4.8 hours of burn-related medical and surgical lectures and 4.2 hours of burn-related physical therapy procedure lectures. The instructional time devoted to oncology was slightly less. Physicians presented the medical and surgical lectures in 36% of the curricula and provided instruction with physical therapists and nurses in 39% of the curricula. Physical therapists alone presented the lectures on physical therapy procedures in 83% of the curricula. Sixty-three percent of the respondents believed that new graduates could effectively treat both patients with burns and those with cancer, but other respondents attached various qualifiers to their responses. Some respondents thought that new graduates could not adequately treat patients with burns (12%) or cancer (8%). Suggestions for future physical therapy burn education are given.

Ethnic and racial differences in serum vitamin A levels of children aged 4-11 years

Interpretation of differences in serum vitamin A levels observed between Hispanic and non-Hispanic children may be complicated by confounding environmental factors. Data from the Mexican-American portion of the Hispanic Health and Nutrition Examination Survey and the second National Health and Nutrition Examination Survey were used to explore these differences in 4-11-y-old Mexican Americans and non-Hispanic blacks and whites before and after accounting for vitamin-mineral supplement use and poverty status. Initial differences in mean serum vitamin A levels and prevalences less than 20 micrograms/dL (0.70 mumol/L) or less than 25 micrograms/dL (0.87 mumol/L) among the three ethnic or racial groups were reduced or eliminated after accounting for the two descriptive variables. These results support the hypothesis that differences in serum vitamin A levels between Mexican-American and non-Hispanic children in the United States are due more to environmental factors than to ethnicity.

Magnesium metabolism in the rumens of lactating dairy cows fed on spring grass

Six rumen cannulated lactating Jersey cows were used to study the effects of an abrupt change from a dry diet to young spring grass on mineral metabolism in the rumen, on plasma Mg2+ levels and on water intake. There was an increase in the intake of dietary Mg2+ and concentration of ultrafilterable Mg2+ in rumen fluid when the grass was fed associated with a fall in plasma Mg2+ concentration and percentage urinary Mg2+ excretion. The pH of rumen fluid fell when the cows were fed grass and there was a close inverse relationship with the concentration of ultrafilterable Mg2+ and Ca2+. Changes occurred in the mineral composition of rumen fluid that interact to affect the absorption of Mg2+. The concentrations of NH3, ultrafilterable K+ and ultrafilterable Ca2+ increased and the concentration of ultrafilterable Na+ decreased. These changes were associated with an increase in the potential difference between rumen fluid and blood (positive). Water consumption fell abruptly when the grass was fed and some cows drank no water on several days. However, total water intake was almost doubled resulting in an increased rumen volume.

Biochemical studies on McLeod phenotype red cells and isolation of Kx antigen

Red cells of the McLeod blood group phenotype have weak Kell antigens, lack Kx antigen and have acanthocytic morphology. We have immunoprecipitated Kell antigens from McLeod red cells and show that they are markers on the same 93 kDa membrane protein that carries Kell antigens on normal red cells. However, as determined by Western immunoblotting, McLeod red cells have a marked deficiency of this protein. We have also studied the near-neighbour relationship of McLeod and common Kell red-cell membrane proteins by cross-linking intrinsic sulphydryl groups by oxidation, catalysed with orthophenanthroline and copper, or by cross-linking amino groups with dimethyl-3,3'-dithiobispropionimidate. Results were analysed by diagonal mapping in two-dimensional gels. No abnormalities of membrane protein inter-relationship were detected in McLeod red cells. We have isolated Kx antigen from K0 red cells by immunoprecipitation with human alloimmune anti-Kx serum, isolation of immune complexes from detergent-solubilized cell membranes with protein A-Sepharose and analysis of the eluted immune complex by SDS-PAGE under reducing conditions. Kx antigen is a marker on a red-cell membrane protein of approximately 37 kDa. Ko (Knull) red cells have about twice the amount of Kx antigen as do red cells of common Kell type. McLeod red cells have no detectable Kx antigen by serological tests or by immunoprecipitation.

Microbiological assay of blood serum for the vitamin B12 status of dairy cows

Four vitamin B12 assays were compared using blood sera from Friesian cows on winter diets or grazing. In herd 1, ten animals were blood-sampled three times at monthly intervals and the vitamin B12 concentration of the sera determined by the Poteriochromonas malhamensis and Lactobacillus delbrueckii assays. At all three sampling dates the results produced by the P. malhamensis assay were significantly greater than those produced by the L. delbrueckii assay. Cows in herd 2 were divided into two groups, each of 30 animals. One group was given a soluble glass bolus releasing cobalt and the other was unsupplemented. Milk yields were recorded throughout the experimental period and herbage samples were taken at intervals for cobalt determinations. Blood samples were taken at intervals from January to September 1983 and the vitamin B12 concentration of the sera determined by four different assay methods: the P. malhamensis and L. delbrueckii microbiological assays and the Becton Dickinson and RIA Products 'No-boil' radioassays. The last of these failed to detect vitamin B12 in any sample. There was a significant difference between the results obtained by the three other assays, with the Becton Dickinson radioassay consistently producing the lowest result and the P. malhamensis assay the highest result of the three. There was no significant effect of cobalt supplementation on milk yield.

Comparison of dietary intakes and iron status of vitamin-mineral supplement users and nonusers, aged 1-19 years

Despite widespread use of supplements, few studies have been conducted to determine if supplement users have better nutritional status. Using data from the second National Health and Nutrition Examination Survey (NHANES II), mean values of five iron status indicators (hemoglobin, mean corpuscular volume, transferrin saturation, erythrocyte protoporphyrin, and serum ferritin) and dietary intakes of several nutrients and food groups were compared between regular supplement users and nonusers aged 1-19 y. Users consumed more vitamin C and fruits and vegetables than nonusers in several age-sex groups. No significant differences in mean Fe status indicator values were observed except for hemoglobin for the 3-4-y olds and serum ferritin for the 5-10-y olds. In both cases, users had higher values than nonusers. In general, Fe status was not associated with supplement use but the reason cannot be identified from this survey.

The effect of various dose regimens of famotidine on basal nocturnal and meal-stimulated gastric secretion

The antisecretory profile of the H2-receptor antagonist famotidine was studied with various oral doses and regimens in 10 healthy volunteers with high basal acid output (greater than or equal to 5 mEq/hr). Doses included 10, 20, and 40 mg at 9 PM and 9 AM and also 40 mg at 9 PM only. In the 22 hours after the PM doses, overnight (midnight to 7 AM) basal acid secretion was evaluated. Daytime meal-stimulated secretion was assessed at 7 AM, 12 noon, and 5 PM. Doses of 10, 20, and 40 mg inhibited fasting nocturnal basal secretion by 69%, 86%, and 83% to 94%, respectively (P less than 0.01). Meal-stimulated secretion at 7 AM (10 hours after administration) was inhibited by 28% and 39% (P less than 0.01) by only the 40 mg doses. The response to the 12 noon meal was inhibited by the 9 AM doses of 10, 20, and 40 mg by 45%, 75%, and 85%, respectively (P less than 0.01). The effect of a 40 mg dose given at 9 PM only had dissipated by breakfast (7 AM). The response to the 5 PM meal was suppressed by the 20 and 40 mg doses given at 9 AM by 22% and 35%, respectively (P less than 0.05). Suppression was present in only eight of the subjects after the 20 mg dose but in all 10 after the 40 mg dose. The effect on basal gastric aspirate pH values paralleled those seen on acid output. An association was found between mean plasma concentrations of famotidine and mean inhibition of meal-stimulated acid secretion. However, individual values may not be predictive.

The first example of autoanti-Kx

An IgG autoantibody with Kx specificity was found in the blood of a 61-year-old white man. The antibody did not cause hemolysis of his own or transfused Kx-positive red cells. The patient is of common Kell blood type and does not exhibit any clinical or hematologic features of McLeod syndrome.

The relationship between the binding site of [3H]-d-cis-diltiazem and that of other non-dihydropyridine calcium entry blockers in cardiac sarcolemma

[3H]-d-cis-Diltiazem binds to canine cardiac sarcolemma in a specific, saturable, and reversible manner with a KD = 58.0 +/- 9.5 nM and a receptor site density (maximum binding) of 2.19 +/- 0.24 pmol/mg of protein. Bepridil and verapamil, Ca2+ channel inhibitors, can completely inhibit this binding at nM concentrations. This inhibition was determined from saturation binding data to be due to a change in affinity of the radioligand, suggesting a competitive interaction between the three drugs. However, in dissociation experiments, both bepridil and verapamil increased the dissociation rate of the radioligand. This effect is uncharacteristic of competitive inhibitors and suggests that bepridil and verapamil regulate [3H]-d-cis-diltiazem binding in a negative allosteric fashion through their own distinct binding sites.

Acquired loss of red cell Kell antigens

A 19-year-old patient with a long history of idiopathic thrombocytopenic purpura developed a potent antibody against a high-incidence antigen in the Kell blood group system. The direct antiglobulin test on his red cells was negative. His cells exhibited profound depression of Kell blood group antigens, but antigens of other blood groups were normal. Transfusion of incompatible blood was well tolerated and differential agglutination tests, using selected Rh antisera, showed in vivo survival of the transfused red cells for more than 8 weeks. However, the transfused red cells also showed acquired loss of Kell antigens. Five months after the initial findings, Kell-related antibody disappeared and Kell antigens reappeared on his red cells. The patient's serum stored from the initial investigation now reacted with his freshly collected red cells. These data suggest that an environmental agent in the patient's plasma was responsible for the temporary loss of Kell antigens from red cells in his circulation.

Epidemiology of bulimia and bulimic behaviors

A number of studies in recent years have attempted to establish prevalence rates for bulimia as defined by the DSM-III criteria and for bulimic behaviors such as binge eating, purging, and restrictive dieting. The literature has reported widely differing estimates of these behaviors. A critique of these studies suggests that a variety of methodological issues probably accounts for the lack of consistency across reports. A review of the literature indicates that some behaviors which could be considered bulimic are extremely widespread. Some recent work highlights the importance of using both behavioral and attitudinal variables in an assessment of clinically significant bulimia associated with life impairment, which is much less prevalent.

Acquired loss of red-cell Wj antigen in a patient with Hodgkin's disease

A patient with Hodgkin's disease became temporarily Wj-negative with alloanti-Wj in his serum. Four human autoantibodies, and 1 of 2 murine monoclonal antibodies, with serological characteristics of anti-Wj were nonreactive with his red cells, confirming that they have anti-Wj specificity. Six siblings of the patient are all Wj-positive. The patient was also temporarily Anton-negative, and cross-testing between Wj and Anton red cells and antisera showed mutual compatibility, indicating that the antigens are the same. The patient and 3 of his 6 siblings are also of the rare Lu: - 13 phenotype, providing the first evidence that this is an inherited characteristic.