A large group in a district general hospital

This article describes a large group in a district general hospital serving a defined catchment area. Fifteen consecutive meetings were studied and three types of meeting were observed; manic meetings, depressed meetings and, thirdly more balanced meetings not dominated by any powerful affect. The main topics discussed in the meetings included depression, illness, anxieties about treatment or recurrence, doctors, bereavement, loneliness, religion, and death, the more medical subjects possibly reflecting the medical orientation of the treatment programme. The principal themes in this meeting differ from those described in therapeutic communities, when themes of violence, rejection, sexuality and dependence conflicts figure more prominently. In the setting of the district general hospital, the character of the meeting appeared to be largely determined by the composition of the ward at the time, and patients with affective disorders. by virtue of their powerful moods, often assumed a dominant role.

Patellectomy: a clinical study and biomechanical evaluation

This study presents a long-term follow-up and evaluation of a single technique of patellectomy involving a cruciform repair of the extensor mechanism. The techniques of evaluation, namely: clinical observation, instant center analysis and an acoustical method of cartilage evaluation provide a more thorough and objective basis for clinical study than previously reported. Cruciform repair produced results comparable to conventional methods of surgical repairs. Patellectomized knees function well in people with patellofemoral disease but not in those with panarticular disease. Patellectomy substantially alters normal joint mechanics as evidenced by persistent changes in instant center analysis. Degenerative changes caused by the patellectomy are progressive. In view of newer concepts of the function of the patella in normal joint mechanics and improved designs of total knee arthroplasty, the indications for patellectomy are now more questionable than ever before in the history of orthopedics.

Pre- and postoperative uses of CEA

CEA plasma levels obtained prior to definitive surgery in patients with colorectal cancer in our hands have predictive ability. An elevated CEA greater than 2.5 ng/ml recorded by our laboratory means an increased risk of subsequent local recurrence or of later metastatic disease. The question as to whether or not this is additive as a prognostic variable when tested against careful histopathological staging remains. As a monitor, CEA will detect recurrence. Again, the problem as to how accurate this is remains. If we use two consecutive elevations of plasma CEA greater than 2.5 ng/ml as a criteria, we encounter about 15% false positives which must be weighed against finding disease significantly earlier in about one-third of the patients followed. Our data for second-look procedures indicate clearly that when used in patients with an elevated CEA laparotomy may be useful and further studies showed the presence of disease in 11 of 14 patients with an elevation following surgery for two consecutive tests were greater than 2.5 ng/ml. Two were operable. The significance of these findings is described.

Flash photolysis electron spin resonance studies of the electron acceptor species at low temperatures in photosystem I of spinach subchloroplast particles

The light-induced electron spin resonance signals of Photosystem I spinach subchloroplast particles have been studied at approximately 6 degrees K. Using the technique of flash photolysis-electron spin resonance with actinic illumination at 647 nm, a kinetic analysis of the previously observed bound ferredoxin ESR signals was carried out. Signal I (P700+) exhibits a partial light-reversible behavior at 6 degrees K so it was expected that if the bound ferredoxin is the primary acceptor of Photosystem I, it should also exhibit a partial reversible behavior. However, none of the bound ferredoxin ESR signals showed any such light reversible behavior. A search to wider fields revealed two components which did exhibit the expected kinetic behavior. These components are very broad (about 80 G) and are centered at g equals to 1.75 and g equals to 2.07. These two components exhibit the expected characteristics of the primary electron acceptor. A model is presented to account for the reversible and irreversible photochemical changes in Photosystem I. The possible identity of the primary acceptor responsible for these two new components, is discussed in terms of the available information. The primary acceptor may be an iron-sulfur protein, but not of the type characteristic of the bound or water-soluble ferredoxins found so far in chloroplasts.

A study of the temperature dependence of the electronic spectra of alkyl cobaloximes

The temperature dependence of the electronic spectra of the alkyl-pyridinatocobaloximes in benzene solution was found to be due to an equilibrium existing between two forms proposed to be inner-sphere and outer-sphere coordination compounds. Evidence is presented to rule out the possibilites of equilibria with pentacoordinated or dimeric forms, as well as a form with the cobalt out of the plane of the dimethylglyoxime.