Comparison of quinestrol and Tace for relief of postpartum breast discomfort

A single 2-mg dose of quinestrol was demonstrated safe and effective for controlling postpartum lactation and for alleviating breast discomfort. A double-blind comparison to Tace 72 mg every 12 hours for 2 days, and to placebo, was made in 134 patients. The single oral dose of quinestrol showed efficacy equal to the 2-day regimen of Tace. Both were superior to placebo.

A practical method of antimicrobial surveillance

This antimicrobial surveillance program clearly relates inpatient antimicrobial usage to therapeutic or prophylactic indications. One nurse-epidemiologist gathers data for a medium-sized Veterans Administration hospital, in addition to carrying out infection surveillance and educational responsibilities, and reviews the data weekly with an infectious disease physician. Usage of antimicrobials for surgical prophylaxis is the area where violations of generally accepted criteria for usage can be most readily documented. Only 31% of usages were deemed appropriate. A similar percentage (about 65%) of antimicrobial usages were judged "appropriate" on the medical and surgical services in treatment of wound and urinary tract infection. Treatment of respiratory tract infection and sepsis was judge "appropriate" in over 85% of instances on the medical service. These categories contained too few cases to summarize on the surgical service.

Horizontal vestibular nystagmus. I. Identification of medial vestibular neurones

1. The properities of inputs from the horizontal semi-circular canal to neurones of the medial vestibular nucleus have been studied intracellularly in the unanaesthetized encéphale isolé cat. 2. Secondary neurones of the bestibulo-abducens reflex arc were identified by their orthodromic response to labyrinthine stimulation and by antidromic excitation from the contralateral abducens nucleus. 3. The responses of medial vestibular cells receiving only labyrinthine in puts are also described. These were seen to be predominantly excitatory though IPSPs were observed in a few cases. 4. Identified vestibular neurones were intracellularly injected with procion yellow and showed different morphological characteristics correlated with function.

Horizontal vestibular nystagmus. II. Activity patterns of medial vestibular neurones during nystagmus

1. Identified medial vestibular neurones were studied before, during and after nystagmogenic labyrinthine stimulation in the Encéphale isolé cat. Motor discharges were simultaneously recorded from the contralateral abducens nerve. 2. 87.9% of the recorded neurones showed changes in tonic firing frequency during repetitibe labyrinthine stimulation with no nystagmic modulation in behaviour. 3. The secondary vestibular neurones projecting monosynaptically to the contralateral abducens motoneurones were included in this non-rhythmic population. 4. Only 2% of the recorded population fired rhythmically both during nystagmogenic stimulation and poststimulation nystagmus. These neurones showed plasticity in behaviour regarding the phases of nystagmus recorded from the contralateral abducens nerve. 5. The remaining 10.1% of the medial vestibular neurones were excited or inhibited by repetitive stimulation of the labyrinth but showed burst firing pattersn correlated with poststimulation nystagmic discharges.

Effect of trimethoprim-sulfamethoxazole on blood insulin and glucose concentrations of diabetics

Trimethoprim-sulfamethoxazole (TMP-SMX) caused no significant changes in the blood glucose or insulin concentrations of diabetic subjects treated by dietary measures alone or by insulin and diet. In only one of eight subjects receiving oral hypoglycemic agents for the control of diabetes did a significant immediate increase in immunoreactive insulin follow administration of TMP-SMX. In the same patient hypoglycemic symptoms were present after the agent had been taken for 14 days.