EMG and kinematics of normal subjects performing trunk flexion/extensions freely in space

Ten normal subjects performed continuous trunk flexion/extensions (F/E) without any restraining apparatus at free, 3, 2.25 and 1.5 s periods and a fatiguing task of F/E at 1.5 s period during 45 s. Kinematics of the trunk was obtained with bilateral electromyographic (EMG) activity of the erector spinae (three levels), the abdominal oblique muscles and the rectus abdominis muscles. The free period chosen by the subjects was found to vary between 3.05 and 1.47 s. Lateral flexion of the spine was similar in each task but rotation about its longitudinal axis increased as the F/E period shortened. When left and right side EMG signals were grouped by level of recording, a significant difference in activity was found. Subjects who produced the slowest free F/E displayed larger fatigue indexes derived from the EMG signals for some of their back muscles than for other subjects. The flexion/relaxation phenomenon was considered present in a muscle if a level <10% of the maximum signal recorded during extension was detected. The phenomenon was found in >50% of the observations and occurred at a similar angle in each task. Kinematics and several characteristics of the EMG signals of the trunk were statistically independent of the speed of motion.

Unconfined compression of articular cartilage: nonlinear behavior and comparison with a fibril-reinforced biphasic model

Mechanical behavior of articular cartilage was characterized in unconfined compression to delineate regimes of linear and nonlinear behavior, to investigate the ability of a fibril-reinforced biphasic model to describe measurements, and to test the prediction of biphasic and poroelastic models that tissue dimensions alter tissue stiffness through a specific scaling law for time and frequency. Disks of full-thickness adult articular cartilage from bovine humeral heads were subjected to successive applications of small-amplitude ramp compressions cumulating to a 10 percent compression offset where a series of sinusoidal and ramp compression and ramp release displacements were superposed. We found all equilibrium behavior (up to 10 percent axial compression offset) to be linear, while most nonequilibrium behavior was nonlinear, with the exception of small-amplitude ramp compressions applied from the same compression offset. Observed nonlinear behavior included compression-offset-dependent stiffening of the transient response to ramp compression, nonlinear maintenance of compressive stress during release from a prescribed offset, and a nonlinear reduction in dynamic stiffness with increasing amplitudes of sinusoidal compression. The fibril-reinforced biphasic model was able to describe stress relaxation response to ramp compression, including the high ratio of peak to equilibrium load. However, compression offset-dependent stiffening appeared to suggest strain-dependent parameters involving strain-dependent fibril network stiffness and strain-dependent hydraulic permeability. Finally, testing of disks of different diameters and rescaling of the frequency according to the rule prescribed by current biphasic and poroelastic models (rescaling with respect to the sample's radius squared) reasonably confirmed the validity of that scaling rule. The overall results of this study support several aspects of current theoretical models of articular cartilage mechanical behavior, motivate further experimental characterization, and suggest the inclusion of specific nonlinear behaviors to models.

[Psychological and physical health of the July 1996 disaster victims: A comparative study between victims and non-victims.]

In July 1996, the Saguenay-Lac-St-Jean region suffered one of the greatest natural disasters in Québec's history. This article presents results of a study aiming at comparing, two years after the flood, the physical and psychological health condition of victims (n=177) to that of non-victims (n=168). The results indicate that victims, - regardless of their gender - present a psychological well-being as well as a post-disaster physical health that is different from non-victims. Disaster victims are much more numerous than non-victims in considering that their health is bad or average and in witnessing new health problems or the exacerbation of existing problems. Victims also present more manifestations of prosttraumatic stress and somatic complaints, have higher levels of depression, anxiety and social dysfunction than non-victims. However, no significant difference between subjects was revealed concerning severe depression. Results obtained corroborated that of other studies. After a natural or technological disaster involving important material damages to individual belongings, victims are more affected than non-victims concerning their psychological and physical health.

Surface antigen detection with non-fluorescent, antibody-coated microbeads: an alternative method compatible with conventional fluorochrome-based labeling

BACKGROUND

Our goal was to devise a new labeling technique allowing the flow cytometric detection of an additional cell surface marker without the need for a supplementary fluorochrome.

METHODS

Non-fluorescent polystyrene latex microbeads (0.1 or 0.5 microm in diameter) were coated with monoclonal antibodies (mAbs) by adsorption. Upon binding to their specific antigen on the surface of the cell, mAb-coated beads induced a dramatic shift in the side scatter channel (SSC), resulting in a well-defined cell population.

RESULTS

We show that expression of CD4 on murine peripheral lymphocytes, labeled with anti-CD4 mAb-coated beads, can be readily detected through an amplification of the SSC signal. Simultaneous labeling of lymphocytes with phycoerythrin- (PE)-conjugated anti-CD4 mAb and anti-CD4 mAb-coated beads, showed that all PE+ cells were SSChigh, thus establishing the specificity of the technique. Hence, we have demonstrated that staining with mAb-coated beads could be combined to conventional labeling methods with fluorochrome-conjugated mAbs. Using a standard 488 nm single laser cytometer, we have performed a five-parameter analysis, simultaneously detecting fluorescein isothiocyanate (FITC), PE, RED670 and RED613, in combination with SSC signal modulation induced by mAb-coated beads. Moreover, we have shown that beads coated with mAbs directed against various antigens (CD45R, Mac-1, and TCRbeta) can be used on various tissues, namely lymph nodes, spleen, or bone marrow.

CONCLUSIONS

mAb-coated latex beads can therefore easily be used as an additional surface label, and provide a simple and reliable mean to upgrade the analysis capabilities of standard flow cytometry units.

Calretinin-immunoreactive neurons in primate pedunculopontine and laterodorsal tegmental nuclei

Single- and double-antigen localization procedures were used to study the distribution, morphological characteristics and chemical phenotype of neurons containing the calcium-binding protein calretinin in the pedunculopontine and laterodorsal tegmental nuclei of the cynomolgus monkey (Macaca fascicularis). Calretinin was detected in neurons that belonged to a highly heteromorphic and widely distributed subpopulation of the pedunculopontine and laterodorsal tegmental nuclei in the cynomolgus monkey. Double-immunostaining experiments revealed that about 12% of these calretinin-containing neurons displayed immunoreactivity for another calcium-binding protein, Calbindin-D28k. The calretinin/Calbindin-D28k double-labeled neurons had small to medium-sized perikarya, from which emerged a bipolar or multipolar dendritic arborization. Calretinin was also present in approximately 8% of the cholinergic neurons of the pedunculopontine/laterodorsal nuclear complex, as visualized on single sections immunostained for both calretinin and choline acetyltransferase. These calretinin/choline acetyltransferase double-labeled neurons displayed markedly different sizes and shapes, and occurred preferentially in the pars compacta and dissipata of the pedunculopontine tegmental nucleus. Numerous calretinin-immunoreactive fibers were also present within and around the superior cerebellar peduncle. Some of these varicose fibers closely surrounded large non-immunoreactive neurons, as well as large neurons staining positively for choline acetyltransferase. This study provides the first evidence for the existence of calretinin-immunoreactive neurons within the primate pedunculopontine and laterodorsal tegmental nuclei. Our data suggest that calretinin may play a role in the function of the pedunculopontine/laterodorsal nuclear complex by acting either alone or in conjunction with acetylcholine or Calbindin-D28k.

Seroepidemiologic study of Neospora caninum in dairy herds

OBJECTIVE

To identify risk factors associated with Neospora caninum infection in dairy herds in Québec and to estimate seroprevalence in case and control herds.

DESIGN

Herd-based case-control and seroprevalence study.

ANIMALS

3,059 cows from 24 case and 22 control dairy herds in Québec.

PROCEDURE

Blood samples were obtained from each cow, and sera were tested, using an ELISA, for antibodies to N caninum. Owners of herds answered questionnaires requesting information on demographics and herd management practices. Seroprevalence was compared between case and control herds, using the Mann-Whitney test. Risk factors were compared between case and control herds, using logistic regression.

RESULTS

All case herds and 73% of control herds had at least one seropositive cow. Median seroprevalence was significantly greater among case herds (22.5%) than among control herds (7.5%). Dogs were found most often and in greatest numbers on farms housing case herds compared with control herds during the past 3 years.

CLINICAL IMPLICATIONS

Although the exact role that dogs have in transmission of N caninum in dairy herds needs to be elucidated, dogs should have limited access to barns and cattle.

Calretinin-immunoreactive neurons in the human thalamus

The distribution of the calcium-binding protein calretinin in the thalamus of normal human individuals was studied with immunohistochemistry. Calretinin immunoreactivity was weak in the geniculate bodies and in nuclei of the ventral and posterior groups, moderate in the reticular nucleus and in nuclei of the anterior, medial, and lateral groups, and strong in nuclei of the midline group and anterior intralaminar nuclei. The mediodorsal nucleus was unique among thalamic nuclei because it contained a wide variety of intensely immunostained perikarya embedded in a moderately-labelled neuropil. The reticular nucleus displayed several small and uniformly distributed neuronal clusters composed of immunostained perikarya lying in a moderately-labelled neuropil. Intense and uniform immunostaining was observed in all midline nuclei and in the anterior intralaminar nuclei, including the paracentral and central lateral nuclei. These nuclei, which harboured numerous intensely-stained perikarya lying in a dense immunoreactive neuropil, were the most strongly-immunoreactive structures of the entire human thalamus. At the level of the posterior intralaminar nuclei, the central median nucleus was virtually free of immunostaining whereas the parafascicular nucleus was moderately labelled. The nucleus submedius located just beneath the central median/parafascicular complex displayed a very intense calretinin immunostaining. This study has provided evidence for the presence of the protein calretinin in the human thalamus. The pattern of distribution of calretinin, as delineated in the present study, suggests that this calcium-binding protein may participate in various subcortical and cortical thalamic systems involved in the modulation of emotional and motivational states.

Calcium-binding proteins in primate cerebellum

Single and double antigen localization procedures were used to study the distribution of the calcium-binding proteins calretinin, calbindin and parvalbumin in the cerebellum of the squirrel monkey (Saimiri sciureus). The immunostaining experiments have revealed that each of the three calcium-binding proteins occurred, either alone or in various combinations, in many neuronal types of the monkey cerebellum, including the Purkinje cells. Immunoreactivity for calbindin was detected in virtually all Purkinje cells, whereas immunoreactivity for calretinin and parvalbumin was encountered only in some subpopulations of Purkinje cells. In the vermal region, parvalbumin immunostaining appeared in the form of typical weak and strong alternating parasagittal bands. Calretinin immunoreactivity was found in virtually all neurons and fiber systems related to the granular layer, including the monodendritic cells, the granule cells and their parallel fibers, the Golgi and Lugaro cells and the mossy fibers. The Golgi cells also displayed calbindin and parvalbumin immunoreactivity. Parvalbumin was found to labeled both the climbing and mossy fibers, as well as the basket and stellate cells lying in the molecular layer. These results reveal that virtually all the different neuronal types in the primate cerebellum contain at least one of three calcium-binding proteins investigated in the present study. Furthermore, calretinin appears to be a particularly reliable molecular maker for all the neuronal elements associated with the granular layer in the primate cerebellum.

Distribution of calretinin, calbindin-D28k and parvalbumin in the hypothalamus of the squirrel monkey

The immunohistochemical approach was used to study the distribution of three calcium-binding proteins of the 'EF hand' family, namely calretinin, calbindin-D28k and parvalbumin, in the preoptico-hypothalamic complex of the squirrel monkey (Saimiri sciureus). These three calcium-binding proteins were found to be heterogeneously distributed in the primate hypothalamus. Neurons expressing high levels of calretinin immunoreactivity were particularly abundant in the infundibular (arcuate) nucleus, the suprachiasmatic nucleus, the lateral area and the dorsomedial nucleus of the hypothalamus. Neurons displaying immunoreactivity for calbindin-D28k were especially numerous in the medial preoptic area and diagonal band nucleus, as well as in the magnocellular subdivision of the paraventricular nucleus, the suprachiasmatic nucleus, the supraoptic nucleus, the infundibular nucleus, the ventromedial nucleus and the mammillary bodies of the hypothalamus. Fibers displaying intense immunoreactivity for either calretinin or calbindin-D28k were very abundant in the median eminence of the hypothalamus. In contrast to calretinin- and calbindin-D28k, parvalbumin was largely absent from the primate preoptico-hypothalamic complex. Parvalbumin-immunoreactive neurons occurred in significant number only in the most lateral portion of the medial mammillary nucleus in the squirrel monkey. The results of the present study suggest that calretinin and calbindin-D28k may act, either in concert or in a complementary manner, so as to participate in some specific aspects of the multifarious role of the hypothalamus in primates. In contrast to the other two calcium-binding proteins, parvalbumin is unlikely to be involved in a significant manner in hypothalamic functions in primates.

TGF-beta 2 and PGE2 in rabbit blastocoelic fluid can modulate GM-CSF production by human lymphocytes

PROBLEM

During normal pregnancy, major changes occur in the production of Th2/Th1 cytokines at the feto-maternal interface. Th2 cytokines such as interleukin-4 (IL-4) or interleukin-10 (IL-10) are predominantly produced locally in the uterine and placental tissues, whereas the production of Th1 cytokines such as tumor necrosis factor alpha (TNF-alpha) and interferon gamma (IFN-gamma) are decreased. Because these modulation might be induced by the embryo, the current study was carried out to test the effect of rabbit blastocoelic fluid on the production of Th2/Th1 cytokines by lymphocytes, and to investigate the possible implication of transforming growth factor beta 2 (TGF-beta 2) prostaglandin E2 (PGE2) as modulators of the production of these cytokines.

METHOD OF STUDY

Human peripheral blood lymphocytes (PBL) were cultured along with ConcanavalinA(Con A), and rabbit blastocoelic fluid was collected on day 12 of gestation (BF d-12). Concentrations of cytokines in culture media were determined by enzyme-linked immunoadsorbent assay (ELISA).

RESULTS

Addition of BF d-12 in the culture medium induced a strong inhibition of IL-2, TNF-alpha, IL-10, and granulocyte-macrophage colony-stimulating factor (GM-CSF) production. However, an initial pretreatment of the lymphocytes with BF d-12, followed by a Con A stimulation, led to a marked increase in GM-CSF production, whereas IL-2, TNF-alpha, and IL-10 secretions were inhibited. It was also demonstrated, for the first time, that a pretreatment of the lymphocytes with TGF-beta 2 and PGE2 increased GM-CSF production to the same level reached after the addition of BF d-12. Furthermore, removal of TGF-beta 2 and PGE2 from BF d-12 by affinity chromatography reduced the effect of BF d-12 on GM-CSF production.

CONCLUSIONS

Taken together, these findings suggest that the embryo, in modulating harmful and beneficial cytokine production locally, plays an active role in its protection against maternal immune cellular assault. These results also emphasize the importance of growth factors for successfully maintaining pregnancy.

The effects of ozone-exposed sugar maple seedlings on the biological performance and the feeding preference of the forest tent caterpillar (Malacosoma disstria Hbn.)

The effects of exposure of sugar maple (Acer saccharum Marsh.) to ozone on the entire larval stage of a native insect have not been previously investigated. This study reports the effects of sugar maple seedlings exposed to different ozone concentrations on the relative performance and the feeding preference of the forest tent caterpillar (Malacosoma disstria Hbn.). Three-year-old seedlings were set in nine open-top field chambers in the spring of 1992 and 1993. Three ozone concentrations were generated: charcoal-filtered ambient air (0x), ambient air (1x) and three times ambient air (3x). In 1992, female and male larval development time did not differ among ozone treatments. In 1993, female larvae reared on 3x developed faster than those on 0x and 1x, while male larvae were not affected. Ozone treatments did not influence pupal weights except for males in 1993 where pupae reared on 0x were heavier than 1x but did not differ from 3x. Larval and pupal survival rates were not affected by ozone in either year. Finally, 4th and 5th instar larvae showed a significant feeding preference for 3x foliage in 1993 but not in 1992. The response of the forest tent caterpillar to ozone exposed seedlings varied between years and could be more sensitive to annual climatic variations than ozone.

Massive upper gastrointestinal bleeding originating from a fourth-stage duodenal diverticulum: a case report and review of the literature

Duodenal diverticulum is well-known pathologic entity. Most such diverticula are asymptomatic and located on the second stage of the duodenum. The diagnosis is most often established by endoscopy or upper gastrointestinal radiography. Hemorrhage has been described but is an infrequent complication. We report on a patient who presented with massive upper gastrointestinal bleeding, originating from a fourth-stage duodenal diverticulum. The diagnosis was made with a combination of arteriography and scanning with technetium 99-labelled red cells. Diverticulectomy was performed with a successful outcome. This report underlines the diagnostic limits of fiberoptic endoscopy for hemorrhagic lesions located past the third stage of the duodenum.

Calcium-binding proteins in primate basal ganglia

This paper describes the distribution of the calcium-binding proteins calbindin-D28k. Parvalbumin and calretinin in primate basal ganglia. The data derive from immunocytochemical studies undertaken in squirrel monkeys (Saimiri sciureus) and in normal human individuals. In the striatum, calbindin labels medium-sized spiny projection neurons whereas parvalbumin and calretinin mark two separate classes of aspiny interneurons. The striatal matrix compartment is markedly enriched with calbindin while striatal patches (striosomes) display a calretinin-rich neuropil. In the pallidum, virtually all neurons contain parvalbumin but none express calbindin. Calretinin occurs only in a small subpopulation of both large and small pallidal neurons. In the subthalamic nucleus, there exists a multitude of parvalbumun-positive cells and fibers but the number of calretinin and calbindin-positive neuronal elements is small. In the substantia nigra/ventral tegmental area complex, calbindin and calretinin occur principally in dopaminergic neurons of the dorsal tier of the pars compacta and in those of the ventral tegmental area. Parvalbumin is strictly confined to the GABAergic neurons of the pars reticulata and lateralis. Calbindin-rich fibers abound in the pars reticulata and lateralis, while calretinin-positive axons are confined to the pars compacta. These results indicate that calbindin and parvalbumin are distributed according to a strikingly complementary pattern in primate basal ganglia. Calretinin is less ubiquitous but occurs in all basal ganglia components where it labels distinct subsets of neurons. Such highly specific patterns of distribution indicate that calbindin, parvalbumin and calretinin may work in synergy within primate basal ganglia.

Endocytotic functions of ameloblasts and odontoblasts: immunocytochemical and tracer studies on the uptake of plasma proteins

BACKGROUND

Biochemical, (immuno)cytochemical, and radioautographic data accumulated over several years have lead to the view that ameloblasts carry out both secretory and degradative functions throughout amelogenesis. Whereas it has been assumed that maturation stage ameloblasts endocytose aged enamel proteins from the enamel layer, the origin of the newly formed ones detected in the endosomal/lysosomal compartment of ameloblasts from all stages remains to be elucidated. One possible source is from secretory products released ectopically along basolateral surfaces.

METHODS

To test this hypothesis, we have investigated, using colloidal gold immunocytochemistry, whether plasma proteins (albumin and alpha 2HS-glycoprotein) found in the interstitial fluid are endocytosed by rat incisor ameloblasts and other cells from hard and soft tissues. Rat albumin, tagged with dinitrophenol, was injected intravenously to trace the movement of this protein.

RESULTS

Plasma proteins were immunodetected along the baso-lateral surfaces and in multivesicular bodies of ameloblasts where enamel proteins were also found. By 2 hours following intravenous administration of dinitrophenylated albumin, the tracer had left the blood and diffused into the enamel organ and between odontoblasts and osteoblasts. The tracer was also found in multivesicular bodies of all cells examined.

CONCLUSIONS

The uptake of albumin by many different cell types suggests that this process is not restricted to ameloblasts and likely occurs in a nonselective manner. Hence, baso-lateral uptake in ameloblasts may play a role not only in the continuous removal of plasma proteins leaking from the blood, but also of enamel proteins 'dumped' laterally between these cells. Likewise, odontoblasts may use the same mechanism to internalize some of the plasma proteins and any enamel protein that diffuse toward them.

Calretinin immunoreactivity in the thalamus of the squirrel monkey

The distribution of the calcium-binding protein, calretinin, in the thalamus of the squirrel monkey (Saimiri sciureus) was studied with immunohistochemical methods. Calretinin was found to be heterogeneously distributed in the primate thalamus and to occur only in specific neuronal populations of certain thalamic nuclei. Neuronal cells and fibers in midline nuclei and their dorsolateral extension, which includes the parataenial and central superior lateral nuclei, displayed the most intense calretinin immunoreactivity. The immunoreactivity for cells and fibers in the intralaminar nuclei was moderate rostrally but very weak caudally. The centre mèdian nucleus, together with the medial habenular nucleus, were virtually devoid of calretinine immunostaining. The mediodorsal nucleus displayed a markedly heterogeneous staining, with numerous clusters of labeled cells and fibers in its central parvicellular part. Cell and fiber immunoreactivity ranged from moderate to high in the nuclei of the anterior and lateral groups, but was very weak in the nuclei of the ventral and posterior groups. There was a small to moderate number of heterogeneously distributed calretinin-immunoreactive cells and fibers in the lateral and medial geniculate bodies, as well as in the reticular nucleus. The present study provides the first evidence for the existence of calretinin in primate thalamus, where this protein is distributed according to a highly heterogeneous pattern. This specific pattern of distribution suggests that calretlnin may play a role that is complementary to those of the other calcium-binding proteins parvalbumin and calbindin D-28k in the thalamus of primates.

Calretinin as a marker of specific neuronal subsets in primate substantia nigra and subthalamic nucleus

Neurons immunoreactive for the calcium-binding protein calretinin (CR) were visualized in the substantia nigra (SN) pars compacta (SNc), reticulata (SNr) and lateralis (SNl), the ventral tegmental area (VTA) and the subthalamic nucleus (STN) of squirrel monkeys. The density of CR perikarya was high in VTA, moderate in SNc, low in SNr/SNl, and very low in STN. The SNc/VTA complex also displayed a CR-rich neuropil. Some CR perikarya and fibers occurred in specific sectors of STN. These data suggest that CR may play a role in specific neuronal subpopulations in all components of primate basal ganglia.

Potential risk of hearing damage associated with exposure to highly amplified music

The experience of highly amplified music listening is described from a psychoacoustic and phenomenologic standpoint in order to characterize both the estimated risk of hearing damage and the perception of such a risk. Exposure as attenders and as the result of a professional activity are examined separately. Data collected in discotheques are analyzed, showing that this type of music is characterized by (a) strong pulsations, the rate of which is approximately 2 Hz; (b) a narrow dynamic range; and (c) a sloping spectrum with maximum energy in the 1/3-octave centered at 63 Hz. This spectrum is almost parallel to the free-field hearing threshold curve raised by 80 dB. Although temporary threshold shift is predictable for different durations of exposure to this type of sound, the long-term risk of permanent threshold shift appears to be very slight for those who are regularly exposed to loud music. An anthropologic approach is proposed with a health education approach to the prevention of hearing loss resulting from amplified music listening.

Sulfonylureas and sulfonylcarbamates as new non-tetrazole angiotensin II receptor antagonists. Discovery of a highly potent orally active (imidazolylbiphenylyl)sulfonylurea (HR 720)

The synthesis and pharmacological activity of new potent nonpeptide non-tetrazole angiotensin II (AII) receptor antagonists are described. These compounds are 4-thioimidazole derivatives linked on N1 to a biphenylsulfonyl fragment by a methylene spacer. Different acidic sulfonamides such as sulfonylureas 12, sulfonylcarbamates 15, sulfonylamides 16, and sulfonylsulfonamides 17 have been investigated as replacements to the known potent tetrazole moiety at the 2'-biphenyl position. Their activity were evaluated by AII receptor binding assay as well as by in vivo (i.v. and po) assays such as inhibition of the AII-induced pressor response in pithed rats. Most of the synthesized sulfonyl derivatives showed nanomolar affinity for the AT1 receptor subtype. The N-propylsulfonylurea 12d and the ethyl sulfonylcarbamate 15b as representative members of this series exhibited high oral activity in the pithed rat model with ID50 values of 0.38 and 0.4 mg/kg, respectively. Structure-activity relationships on the imidazole ring linked to the methylbiphenyl N-propylsulfonylurea fragment demonstrated similar features to those found in the corresponding tetrazole series. For both class of compounds, the linear butyl chain in position 2 and a carboxylic acid in position 5 were important for high in vitro and in vivo activity. In most cases, replacement of the carboxylic acid was detrimental to in vivo activity while maintaining the in vitro binding affinity. Introduction of a methylthio group in position 4 was found to enhance oral activity compared to compounds with chloro or other alkylthio, (polyfluoroalkyl)thio, and arylthio groups. 2-Butyl-4-(methylthio)-1-[[2'- [[[(propylamino)carbonyl]amino[sulfonyl](1,1'-biphenyl)-4- yl]methyl]-1-H-imidazole-5-carboxylic acid (12d) as the most promising example of the series was synthesized as its dipotassium salt (50, HR 720). This compound 50 inhibited the specific binding of [125I]-AII to rat liver membranes with an IC50 value of 0.48 nM. In vivo, 50 dose-dependently inhibited the AII-induced pressor response in normotensive pithed rats (ID50 = 0.11 mg/kg i.v. and 0.7 mg/kg po). In addition, this compound produced a marked and long-lasting decrease in blood pressure in high renin animal models and proved to be superior to the corresponding tetrazole 45 as well as to DuP 753 or its active metabolite EXP 3174. Compound 50 has been selected for in-depth investigations and is currently undergoing phase II clinical trials.

Laparoscopic appendectomy versus open appendectomy: retrospective assessment of 200 patients

OBJECTIVE

To compare laparoscopic appendectomy (LA) with traditional methods as the primary treatment for acute appendicitis.

DESIGN

A retrospective case series.

SETTING

A regional, nonuniversity hospital in northwestern Quebec.

PATIENTS

Two hundred patients with a clinical diagnosis of acute appendicitis: 100 (43 men, 57 women; mean age 27 years) underwent laparoscopic appendectomy and 100 (67 men, 33 women; mean age 21 years) had an open appendectomy (OA).

INTERVENTIONS

LA or OA.

MAIN OUTCOME MEASURES

Operating time, rate of conversion to OA, need for analgesia, morbidity and outcome.

RESULTS

LA was successful in 88% of patients. The mean operating time was 50 minutes for LA versus 24 minutes for OA. On average, patients of the LA group had a 1-day decrease in postoperative hospital stay (2.6 versus 3.6 days). The wound infection rate was lower in the LA group (2% versus 12%) as was the intra-abdominal abscess rate (2% versus 6.0%). There were no deaths in either group. The overall morbidity was 4.5% for the LA group and 18% for the OA group. A clear tendency toward a shorter convalescence was seen in the LA group.

CONCLUSIONS

LA is a safe and viable treatment alternative for acute appendicitis. Prospective randomized studies are needed to confirm its potential advantages.

Juvenile bovine angiomatosis in the mandible

Images

Patches in the striatum of squirrel monkeys are enriched with calretinin fibers but devoid of calretinin cell bodies

In squirrel monkeys, the calcium-binding protein calretinin (CR) was found to be distributed according to strikingly different patterns in striatal patch/matrix compartments, as visualized on adjacent sections immunostained for another calcium-binding protein, calbindin D-28k. Striatal patches were characterized by a dense CR-immunoreactive neuropil, whereas the matrix contained a moderate number of medium-sized and a small number of large-sized CR perikarya uniformly scattered among a few immunoreactive fibers. Matriceal CR perikarya often closely surrounded striatal patches, but none of them invaded the patches themselves. The CR-neuropil-dense patches were particularly conspicuous in ventromedial sectors of the striatum, including the limbic territory, but much less obvious in the dorsolateral sensorimotor territory. These findings indicate that CR neurons may be involved in patch/matrix intercommunication.

Calretinin labels a specific neuronal subpopulation in primate globus pallidus

All pallidal neurones are believed to share the same chemical and morphological phenotype in primates. At variance with this idea is the present finding that calretinin (CR), a calcium binding protein, occurs only in a subset of pallidal neurones in squirrel monkeys. This chemospecific subpopulation comprises both large and small bipolar and multipolar neurones distributed according to a rostrocaudal decreasing gradient. The large neurones outnumber small neurones throughout the pallidum; they abound principally in the external pallidal segment, whereas the small neurones prevail in the internal segment. Some pallidal CR-positive neurones display dorsoventrally elongated dendrites, while others show dendrites radiating in all directions. These findings reveal that pallidal neurones form a chemically and morphologically heterogeneous population in primates.