Occurrence and significance of Cryptosporidium infection in Calcutta

During a 2-year study, Cryptosporidium oocysts were detected in 32 (5.6%) of 566 hospitalized paediatric diarrhoea cases and 2 (1.2%) of 167 non-diarrhoeic individuals. Cryptosporidium was the sole pathogen detected in 17 (3.0%) of the 32 positive cases; in the other 15 it occurred in combination with one or more other established enteropathogen(s). The frequency of detection of the parasite was highest in the 0-6 months age group; no sex-specific difference was discernible. The detection rate of the parasite was highest during the monsoon and post-monsoon months. Most of the patients had watery stools with a mild to moderate degree of dehydration, with the diarrhoea lasting for less than 7 d.

Mortality pattern in babies delivered by cesarean section and vaginal delivery

A total of 7077 cases of delivery were studied in a rural based hospital where most of the mothers come without any antenatal care, from November, 1979 to December, 1980 to observe the mortality pattern in different types of delivery. Only live born babies were included in the study in which the mortality rate in elective cesarean section was found to be nearly equal to that in vaginal delivery. The percentage of mortality was higher (5.4%) in emergency cesarean section-the chief causes being asphyxia neonatorum, low gestational age and low birth weight.

Characterization of the dermatan sulfate proteoglycans, DS-PGI and DS-PGII, from bovine articular cartilage and skin isolated by octyl-sepharose chromatography

Two forms of dermatan sulfate proteoglycans, called DS-PGI and DS-PGII, have been isolated from both bovine fetal skin and calf articular cartilage and characterized. The proteoglycans were isolated using either (a) molecular sieve chromatography under conditions where DS-PGI selectively self-associates or (b) chromatography on octyl-Sepharose, which separates DS-PGI from DS-PGII based on differences in the hydrophobic properties of their core proteins. The NH2-terminal amino acid sequence of DS-PGI from skin and cartilage is identical. The NH2-terminal amino acid sequence of DS-PGII from skin and cartilage is identical. However, the amino acid sequence data and tryptic peptide maps demonstrate that the core proteins of DS-PGI and DS-PGII differ in primary structure. In DS-PGI from bovine fetal skin, 81-84% of the glycosaminoglycan was composed of IdoA-GalNAc(SO4) disaccharide repeating units. In DS-PGI from calf articular cartilage, only 25-29% of the glycosaminoglycan was composed of IdoA-GalNAc(SO4). In DS-PGII from bovine fetal skin, 85-93% of the glycosaminoglycan was IdoA-GalNAc(SO4), whereas in DS-PGII from calf articular cartilage, only 40-44% of the glycosaminoglycan was IdoA-GalNAc(SO4). Thus, analogous proteoglycans from two different tissues, such as DS-PGI from skin and cartilage, possess a core protein with the same primary structure, yet contain glycosaminoglycan chains which differ greatly in iduronic acid content. These differences in the composition of the glycosaminoglycan chains must be determined by tissue-specific mechanisms which regulate the degree of epimerization of GlcA-GalNAc(SO4) into IdoA-GalNAc(SO4) and not by the primary structure of the core protein.

Proteoglycans of bovine articular cartilage. Studies of the direct interaction of link protein with hyaluronate in the absence of proteoglycan monomer

When link protein binds to hyaluronate in the absence of proteoglycan monomer a high molecular weight complex is formed. Two assay procedures have been developed to examine the formation of the complex and the rate and stoichiometry of binding of link protein to hyaluronate in the complex. In the first, the complex is isolated by differential centrifugation, and the stoichiometry of binding of link protein to hyaluronate in the sedimented complex is determined. In the second assay, which involves turbidimetry, the rate of complex formation (delta A420/min) is determined, and the amount of complex formed is determined in terms of the maximum turbidity (A420,max) attained. The effects of temperature, pH, initial total solute concentration, and the ratio by weight of link protein to hyaluronate on the amount of complex formed and on the rate of complex formation were examined. There is a linear correlation between the amount of complex formed as determined by turbidity and by differential centrifugation. Using these assays, we examined the specificity of the binding of link protein to hyaluronate and the capacity of hyaluronate oligosaccharides to competitively inhibit the binding of link protein to hyaluronate. Hyaluronate decasaccharide is the oligosaccharide of minimum size that strongly inhibits the binding of link protein to hyaluronate. Proteoglycan monomers dissociate from hyaluronate as the pH is decreased from pH 7 to pH 5. Turbidimetric studies show that the rate of binding of link protein to hyaluronate increases with decreasing pH. The binding affinity of proteoglycan monomers for hyaluronate is decreased at pH 5, whereas the binding affinity of link protein for hyaluronate is not. This difference in the effect of pH on the stability of binding of link protein to hyaluronate, compared with proteoglycan monomer, explains in part the capacity of link protein to stabilize the binding of proteoglycan monomer to hyaluronate at pH 5.

False-positive serum digoxin concentrations determined by three digoxin assays in patients with liver disease

The incidence and magnitude of false-positive serum digoxin concentrations (SDCs) determined by three digoxin assays in patients with liver disease were studied. Patients with biochemical evidence of liver disease were enrolled in the study if they had never received a cardiac glycoside, were not pregnant, were not receiving spironolactone, did not have moderate to severe renal impairment, and did not have transient elevations in liver function test results. Blood specimens from each patient were assayed for apparent SDCs in triplicate using a fluorescence polarization immunoassay (FPIA, TDx Digoxin II, Abbott) and a digoxin radioimmunoassay (RIA, GammaCoat I125, Clinical Assays) and in duplicate using a fluorometric enzyme immunoassay (Dade Stratus, American Dade). Forty-two patients met the study criteria. The percentage of patients exhibiting detectable apparent SDCs (greater than or equal to 0.2 ng/mL) was 57% with RIA, 55% with FPIA, and 28% with the fluorometric enzyme immunoassay. Apparent SDCs ranged from 0.2 to 0.6 ng/mL (RIA), 0.2 to 1.56 ng/mL (FPIA), and 0.2 to 0.38 ng/mL (fluorometric enzyme immunoassay). Values obtained using the fluorometric enzyme immunoassay were significantly different from the apparent SDCs determined using RIA and FPIA; however, no significant difference was found between the values obtained using RIA and FPIA. Significant correlations were found between the apparent SDCs determined using RIA and serum bilirubin values and between the apparent SDCs determined using the fluorometric enzyme immunoassay and alkaline phosphatase values. Of the three assay methods tested, the fluorometric enzyme immunoassay showed the least cross-sensitivity to digoxin-like immunoreactive substance (DLIS).(ABSTRACT TRUNCATED AT 250 WORDS)

Mechanical characterization of commercially made carbon-fiber-reinforced polymethylmethacrylate

Acrylic bone cement is significantly weaker and of lower modulus of elasticity than compact bone. It is also weaker in tension than in compression. This limits its use in orthopedics to areas where tensile stresses were minimum. Many authors have shown that addition of small percentages of fiber reinforcement by hand mixing improved the mechanical properties significantly but with variable results. In this investigation we have examined the mechanical properties of machine-mixed, commercially available carbon-fiber-reinforced bone cement. Appropriate samples of normal low-viscosity cement and carbon-fiber-reinforced cement were prepared and tested mechanically. Carbon fiber increased the tensile strength and modulus by 30% and 35.8% respectively. The compression strength and modulus, however, increased by only 10.7%. Similarly, bending and shear strengths improved by 29.5% and 18.5%, respectively. Diametral compression strength, which is an indirect measure of tensile strength, however, showed only 6.2% improvement. The maximum temperature rise during polymerization was also reduced significantly by the fiber reinforcement.

A study of knowledge of disease among leprosy patients and attitude of community towards them

A study has been undertaken to evaluate knowledge about disease among leprosy patients and attitude of family and neighbours towards patients. 310 O.P.D. patients attending this hospital have been interviewed and their answers have been analysed. It is observed that less than a fourth of the patients knew the causes of the disease while 40% feared that their children were more prone to get leprosy. Interestingly 75% of patients did not encounter any adverse reaction from the other family members, or neighbours even though most of them knew about the disease.

Isolation of dermatan sulfate proteoglycans from mature bovine articular cartilages

Two species of dermatan sulfate proteoglycans, called DS-PGI and DS-PGII, have been isolated from mature bovine articular cartilages. On sodium dodecyl sulfate-polyacrylamide gel electrophoresis at low ionic strength in 0.01 M phosphate the dermatan sulfate proteoglycans appeared as a single polydisperse species whose molecular weight ranged from 80,000 to 140,000. The dermatan sulfate proteoglycans eluted as a single peak on Sepharose CL-4B chromatography in 4 M guanidine hydrochloride and showed no tendency to separate into two components. Following chondroitinase AC and ABC digestion, a core protein was obtained whose molecular weight was 45,000. However, what appeared to be a single dermatan sulfate proteoglycan was consistently separated into two species of distinctly different mobilities by sodium dodecyl sulfate-polyacrylamide gel electrophoresis at high ionic strength in 0.375 M Tris. The molecular weight of the smaller species (DS-PGII) ranged from 87,000 to 120,000. The molecular weight of the larger species (DS-PGI) ranged from 165,000 to 285,000. DS-PGI self-associates in 0.375 M Tris, while DS-PGII does not. This phenomenon was exploited to separate DS-PGI and DS-PGII by preparative electrophoresis on 5 to 20% gradient slab gels. The immunological identities of the individual species, DS-PGI and DS-PGII, were examined by enzyme-linked immunosorbent assay using polyclonal antiserum to cartilage-specific proteoglycan monomer from bovine articular cartilage and polyclonal and monoclonal antibodies to DS-PGII. The polyclonal antiserum to cartilage-specific proteoglycan monomer did not react with DS-PGI or DS-PGII, indicating that DS-PGI and DS-PGII possess different core proteins from cartilage-specific proteoglycan monomer. Polyclonal and monoclonal antibodies raised against the mixture of DS-PGI and DS-PGII reacted strongly with DS-PGII, but weakly or not at all with DS-PGI. These results suggest that DS-PGI and DS-PGII possess different core proteins and may represent two different species of dermatan sulfate proteoglycans.

Improved method of producing amoebic liver abscesses in hamsters for screening of systemically active amoebicides

An improved method of producing hepatic amoebiasis in hamsters has been developed. A serially liver-passaged strain of Entamoeba histolytica from experimentally-infected hamsters was used for infection. Small pieces from the infected liver were examined for the presence of amoebae and contained approximately 20,000 active trophozoites per piece. Such liver pieces, when used as an inoculum, produced infection in all of the animals. The method has been successfully employed for screening of known amoebicides such as emetine, dehydroemetine, metronidazole, tinidazole, chloroquine, mepacrine, amodiaquine and ambilhar.

Correlation of glyoxalase I activity with cell proliferation inDatura callus culture

Glyoxalase-I activity in growingDatura callus showed 184% increase with the age of the culture. Spermidine increased the enzyme activity together with DNA and protein synthesis. With the addition of mitotic inhibitors, vinblastine and methylglyoxal in the growth medium, the enzyme activity was inhibited by 92 percent and 50 percent respectively, at the most effective concentration and the callus growth was also reduced. Similar results were obtained with specific glyoxalase I inhibitors, iso-ascorbate and squaric acid.

Mechanical properties of bone cement: a review

Many authors have examined the mechanical properties of bone cement and the various factors that affect its mechanical behavior. This article presents a comprehensive survey on the reported mechanical properties of bone cement. Variables that influence the mechanical properties, such as handling characteristics, strain rate, loading modes, additives, porosity, blood inclusion, in vivo environment, temperature, etc. have also been reviewed. The importance of specifying these variables in reporting test results on the mechanical properties of bone cement is pointed out. Previous attempts to improve the mechanical properties of bone cement are also summarized. Future research areas important for fully characterizing the physical properties of PMMA are also suggested.

Improved preservation medium for Campylobacter jejuni

An egg-based medium was found to be superior to the conventional Wang transport medium and the recently developed biphasic medium for the preservation of Campylobacter jejuni in the laboratory. Strains of C. jejuni preserved in egg-based medium maintained at 4 degrees C were viable for over 3 months. The survival of C. jejuni in egg-based medium held at room temperature (27 +/- 2 degrees C) was also relatively longer than in Wang transport medium and biphasic medium.

Improvement of mechanical properties of acrylic bone cement by fiber reinforcement

Acrylic bone cement is significantly weaker and less stiff than compact bone. Bone cement is also weaker in tension than in compression. This limits its use in orthopaedics to areas where tensile stresses are minimum. We have attempted to improve the mechanical properties of PMMA by reinforcing it with metal wires, and graphite and aramid fibers. Normal, carbon fiber reinforced and aramid fiber reinforced bone cement specimens were tested in compression. Addition of a small percentage (1-2% by weight for carbon and up to 6% for aramid) of these fibers improved the mechanical properties significantly. Due to the improved mechanical properties of fiber reinforced bone cement, its clinical use may reduce the incidence of cement fracture and thus loosening of the prosthesis.

Strain-rate dependence of the compressive properties of normal and carbon-fiber-reinforced bone cement

Normal and carbon-fiber-reinforced (1 wt. %) bone cement samples were tested in compression at various strain rates. Both the compressive strength and proportional limit increased in general with increasing strain rate. Similar strain-rate sensitivity was also shown by the carbon-fiber-reinforced bone cement. The mechanical properties, namely the modulus of elasticity, the proportional limit, and the compressive strength of the carbon-fiber-reinforced bone cement showed highly significant positive correlations with the strain rate.

Cholesterol solubility in mixed micellar solutions of ionic and non-ionic surfactants

The solubility of cholesterol in mixed aqueous ionic and non-ionic micellar systems in the presence and absence of salts and ionic dyes has been studied. The mixed micellar system of cetyl trimethyl ammonium bromide and Triton X-100 solubilized more cholesterol than a system consisting of sodium dodecyl sulfate and Triton X-100. The influence of salts and dyes on these systems was moderate but different for each system. Sodium chloride, calcium chloride, and sodium citrate had mild effects on both the systems, whereas the effects of potassium hydrogen phthalate, sodium salicylate, and sodium acetyl salicylate were dramatic. The free energy, enthalpy, and entropy of solution were determined. On the basis of the energetics, the nature of the mixed systems is discussed. Solubility of cholesterol was found to bear a direct correlation with the total lipid content.

The assessment of in vivo bone condition in humans by impact response measurement

Transverse impact tests were conducted on the lower legs of 30 human volunteers and on 18 embalmed human tibiae. The impact was produced by an instrumented hammer and the response was monitored by an accelerometer. The apparent flexural wave velocity, measured from the force and acceleration records, showed significant negative correlations with the ages of both the male and female volunteer groups. The decrease in the velocity with increasing age was more pronounced in the female group. Two patients with bone diseases also manifested a much lower wave velocity compared to that from a normal person of similar age. Results of in vitro impact tests on human tibiae also showed that the wave velocity had: (1) a significant positive correlation with the mass/unit length of bone and (2) a significant negative correlation with the degree of osteoporosis in the bones.